Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.43 / $3,060.00 / $8,134.00	Facility		$195.43	$3,060.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $205.43 / $382.25	Professional		$135.51	$205.43	$382.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $222.36 / $476.95	Professional		$173.90	$222.36	$476.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.79 / $207.79 / $6,213.00	Facility		$207.79	$207.79	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $207.79 / $307.58	Professional		$207.79	$207.79	$307.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $249.95	Facility		$249.95	$249.95	$249.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $272.42 / $682.70	Professional		$158.34	$272.42	$682.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $230.24 / $390.22	Facility		$159.19	$230.24	$390.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $240.87 / $439.36	Professional		$150.78	$240.87	$439.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $202.47 / $202.47	Facility		$202.47	$202.47	$202.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $261.24 / $460.83	Professional		$164.10	$261.24	$460.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,917.33 / $1,917.33 / $3,165.89	Facility		$1,917.33	$1,917.33	$3,165.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.02 / $201.02 / $208.42	Professional		$201.02	$201.02	$208.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $555.00 / $597.00	Facility		$249.95	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $289.10 / $684.03	Professional		$158.34	$289.10	$684.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $271.38 / $702.69	Professional		$186.89	$271.38	$702.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $177.92 / $673.81	Facility		$177.92	$177.92	$673.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $282.16 / $460.83	Professional		$164.10	$282.16	$460.83