Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $3,316.00 / $7,969.00	Facility		$145.22	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $150.59 / $278.86	Professional		$95.71	$150.59	$278.86
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 $108.43 / $150.07 / $334.34	Professional		$108.43	$150.07	$334.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.09 / $147.09 / $6,213.00	Facility		$147.09	$147.09	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $147.09 / $234.46	Professional		$147.09	$147.09	$234.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $14,648.00	Facility		$178.13	$178.13	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $171.61 / $372.96	Professional		$91.50	$171.61	$372.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $157.01 / $332.00	Facility		$96.00	$157.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $225.79 / $517.05	Professional		$194.80	$225.79	$517.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $155.21 / $308.88	Professional		$123.26	$155.21	$308.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.90 / $608.90 / $608.90	Facility		$608.90	$608.90	$608.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $182.23 / $198.18	Professional		$154.00	$182.23	$198.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $555.00 / $74,999.25	Facility		$178.13	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $200.36 / $415.74	Professional		$109.80	$200.36	$415.74
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 $107.95 / $186.25 / $415.62	Professional		$107.95	$186.25	$415.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $113.22 / $349.72	Facility		$113.22	$113.22	$349.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $179.46 / $352.89	Professional		$123.26	$179.46	$352.89