Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $2,985.00 / $7,735.00	Facility		$196.07	$2,985.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $196.07 / $506.23	Professional		$128.90	$196.07	$506.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $210.52 / $454.38	Professional		$152.11	$210.52	$454.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.90 / $207.90 / $6,213.00	Facility		$207.90	$207.90	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $207.90 / $327.26	Professional		$207.90	$207.90	$327.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.52 / $249.52 / $249.52	Facility		$249.52	$249.52	$249.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $241.30 / $537.41	Professional		$126.24	$241.30	$537.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $220.32 / $383.87	Facility		$134.00	$220.32	$383.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $211.93 / $423.37	Professional		$169.69	$211.93	$423.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.59 / $462.59 / $491.56	Facility		$462.59	$462.59	$491.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.33 / $254.23 / $270.33	Professional		$226.33	$254.23	$270.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $249.52 / $555.00 / $74,999.25	Facility		$249.52	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $280.18 / $588.53	Professional		$149.19	$280.18	$588.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $255.55 / $596.04	Professional		$145.49	$255.55	$596.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.55 / $159.55 / $431.88	Facility		$159.55	$159.55	$431.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $226.40 / $483.70	Professional		$169.69	$226.40	$483.70