Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $2,660.00 / $7,235.00	Facility		$79.41	$2,660.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $108.63 / $225.77	Professional		$56.85	$108.63	$225.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $131.76 / $299.57	Professional		$102.12	$131.76	$299.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $4,050.00	Facility		$77.77	$77.77	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $77.77 / $145.09	Professional		$77.77	$77.77	$145.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $93.99 / $14,648.00	Facility		$93.99	$93.99	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $142.09 / $342.80	Professional		$64.81	$142.09	$342.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $96.00 / $332.00	Facility		$60.00	$96.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $135.36 / $286.95	Professional		$104.56	$135.36	$286.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $116.69 / $203.01	Professional		$84.89	$116.69	$203.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.82 / $510.99 / $940.15	Facility		$446.82	$510.99	$940.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Professional		$97.75	$97.75	$97.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $93.99 / $74,999.25	Facility		$93.99	$93.99	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $152.55 / $366.56	Professional		$76.20	$152.55	$366.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $125.77 / $279.17	Professional		$65.61	$125.77	$279.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $58.57 / $247.18	Facility		$58.57	$58.57	$247.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $130.38 / $203.10	Professional		$82.25	$130.38	$203.10