Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.63 / $3,567.36 / $9,661.00	Facility		$148.63	$3,567.36	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $208.53 / $922.51	Professional		$73.81	$208.53	$922.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $409.60 / $1,118.69	Professional		$322.50	$409.60	$1,118.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $4,050.00	Facility		$120.23	$120.23	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $607.71	Professional		$120.23	$120.23	$607.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $142.22 / $3,479.91	Facility		$142.22	$142.22	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $361.71 / $1,550.37	Professional		$99.47	$361.71	$1,550.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $138.78 / $332.00	Facility		$93.37	$138.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $366.93 / $474.25 / $709.74	Professional		$366.93	$474.25	$709.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $425.19 / $668.37	Professional		$303.80	$425.19	$668.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $1,631.00 / $2,147.98	Facility		$104.83	$1,631.00	$2,147.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Professional		$104.83	$104.83	$104.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $555.00 / $3,479.91	Facility		$142.22	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $504.31 / $1,464.32	Professional		$119.82	$504.31	$1,464.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $562.13 / $1,424.25	Professional		$310.97	$562.13	$1,424.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $89.35 / $152.37	Facility		$89.35	$89.35	$152.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $428.40 / $726.49	Professional		$263.20	$428.40	$726.49