Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,043.00 / $9,842.69	Facility		$645.00	$4,043.00	$9,842.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $130.66 / $471.20	Professional		$114.40	$130.66	$471.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $134.91 / $296.47	Professional		$108.64	$134.91	$296.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.79 / $168.79 / $13,477.50	Facility		$168.79	$168.79	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $168.79 / $168.79	Professional		$168.79	$168.79	$168.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $44,560.00 / $53,687.00	Facility		$140.24	$44,560.00	$53,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $190.68 / $494.73	Professional		$123.44	$190.68	$494.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $332.00 / $13,558.00	Facility		$148.00	$332.00	$13,558.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $566.12 / $995.60	Professional		$390.43	$566.12	$995.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $115.98 / $115.98	Facility		$115.98	$115.98	$115.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $165.01 / $260.17	Professional		$100.57	$165.01	$260.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.07 / $1,832.16 / $2,553.00	Facility		$560.07	$1,832.16	$2,553.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $280.00 / $400.00	Professional		$204.00	$280.00	$400.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $597.00 / $53,687.00	Facility		$140.24	$597.00	$53,687.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $245.00 / $497.91	Professional		$127.76	$245.00	$497.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $164.24 / $406.65	Professional		$111.66	$164.24	$406.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.25 / $208.25 / $759.23	Facility		$208.25	$208.25	$759.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $177.01 / $318.49	Professional		$112.70	$177.01	$318.49