Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $1,819.00 / $7,521.00	Facility		$85.82	$1,819.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $121.06 / $343.01	Professional		$70.25	$121.06	$343.01
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 $79.84 / $131.84 / $247.81	Professional		$79.84	$131.84	$247.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $89.72 / $4,050.00	Facility		$89.72	$89.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $89.72 / $146.06	Professional		$89.72	$89.72	$146.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $107.46 / $14,648.00	Facility		$107.46	$107.46	$14,648.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.39 / $128.25 / $277.77	Professional		$69.39	$128.25	$277.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $105.16 / $332.00	Facility		$73.20	$105.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $139.47 / $290.13	Professional		$118.02	$139.47	$290.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $116.77 / $185.54	Professional		$84.34	$116.77	$185.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $198.50 / $2,498.40	Facility		$93.64	$198.50	$2,498.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $204.24 / $240.29	Professional		$204.24	$204.24	$240.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $555.00 / $74,999.25	Facility		$107.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $135.46 / $301.72	Professional		$78.36	$135.46	$301.72
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $121.75 / $271.89	Professional		$71.66	$121.75	$271.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $314.56	Facility		$66.70	$66.70	$314.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $120.84 / $236.49	Professional		$81.72	$120.84	$236.49