Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.08 / $1,715.00 / $6,957.12	Facility		$73.08	$1,715.00	$6,957.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $90.42 / $243.34	Professional		$44.03	$90.42	$243.34
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 $62.63 / $86.99 / $200.40	Professional		$62.63	$86.99	$200.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $62.44 / $6,213.00	Facility		$62.44	$62.44	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $132.13	Professional		$62.44	$62.44	$132.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $76.43 / $14,648.00	Facility		$76.43	$76.43	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $94.62 / $202.31	Professional		$43.17	$94.62	$202.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $78.03 / $332.00	Facility		$52.91	$78.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $127.63 / $270.39	Professional		$110.11	$127.63	$270.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $108.53 / $173.67	Professional		$73.81	$108.53	$173.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $739.20 / $914.75	Facility		$116.68	$739.20	$914.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $168.41 / $225.29	Professional		$168.41	$168.41	$225.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $555.00 / $74,999.25	Facility		$76.43	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $111.70 / $244.15	Professional		$53.05	$111.70	$244.15
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 $58.17 / $106.31 / $233.43	Professional		$58.17	$106.31	$233.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $47.77 / $359.00	Facility		$47.77	$47.77	$359.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $119.48 / $221.36	Professional		$65.02	$119.48	$221.36