Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.27 / $2,725.74 / $7,307.00	Facility		$96.27	$2,725.74	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $108.65 / $206.84	Professional		$63.57	$108.65	$206.84
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 $67.98 / $113.10 / $255.54	Professional		$67.98	$113.10	$255.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $86.78 / $4,050.00	Facility		$86.78	$86.78	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $86.78 / $179.89	Professional		$86.78	$86.78	$179.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $103.85 / $103.85	Facility		$103.85	$103.85	$103.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $129.41 / $282.20	Professional		$64.90	$129.41	$282.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $100.65 / $332.00	Facility		$70.68	$100.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $165.76 / $341.18	Professional		$141.15	$165.76	$341.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $123.56 / $226.46	Professional		$102.94	$123.56	$226.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $503.52	Facility		$50.00	$50.00	$503.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $146.72 / $146.72	Professional		$146.72	$146.72	$146.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $555.00 / $74,999.25	Facility		$103.85	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $149.29 / $310.02	Professional		$74.25	$149.29	$310.02
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 $80.20 / $139.87 / $306.43	Professional		$80.20	$139.87	$306.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $303.93	Facility		$65.33	$65.33	$303.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $131.57 / $258.73	Professional		$84.77	$131.57	$258.73