Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,951.00 / $9,930.09	Facility		$645.00	$3,951.00	$9,930.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $123.80 / $368.80	Professional		$108.97	$123.80	$368.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $126.22 / $280.32	Professional		$102.72	$126.22	$280.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $159.96 / $6,213.00	Facility		$159.96	$159.96	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $159.96 / $159.96	Professional		$159.96	$159.96	$159.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $14,648.00	Facility		$131.69	$131.69	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $181.69 / $465.01	Professional		$115.72	$181.69	$465.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $333.54 / $926.99	Facility		$256.57	$333.54	$926.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.57 / $372.03 / $633.73	Professional		$256.57	$372.03	$633.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $108.88 / $108.88	Facility		$108.88	$108.88	$108.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $163.32 / $244.25	Professional		$94.66	$163.32	$244.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.64 / $1,374.00 / $3,978.00	Facility		$220.64	$1,374.00	$3,978.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $497.57 / $513.10	Professional		$121.54	$497.57	$513.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $555.00 / $597.00	Facility		$131.69	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $188.47 / $453.35	Professional		$119.73	$188.47	$453.35
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 $105.23 / $152.63 / $388.23	Professional		$105.23	$152.63	$388.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.95 / $194.95 / $308.52	Facility		$194.95	$194.95	$308.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $165.71 / $292.69	Professional		$106.13	$165.71	$292.69