Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.86 / $2,884.50 / $8,442.00	Facility		$154.86	$2,884.50	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $193.55 / $498.44	Professional		$69.62	$193.55	$498.44
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 $120.56 / $156.93 / $563.48	Professional		$120.56	$156.93	$563.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.23 / $1,716.00 / $6,213.00	Facility		$216.23	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $216.23 / $404.35	Professional		$216.23	$216.23	$404.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Facility		$101.84	$101.84	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $267.35 / $701.46	Professional		$71.56	$267.35	$701.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $156.91 / $332.00	Facility		$71.68	$156.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $234.93 / $357.58	Professional		$166.05	$234.93	$357.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $142.59 / $142.59	Facility		$142.59	$142.59	$142.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $213.91 / $321.47	Professional		$137.94	$213.91	$321.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,504.52 / $3,011.08 / $3,664.32	Facility		$2,504.52	$3,011.08	$3,664.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $555.00 / $597.00	Facility		$101.84	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $313.95 / $753.18	Professional		$114.98	$313.95	$753.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.95 / $335.43 / $860.49	Professional		$188.95	$335.43	$860.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $71.27 / $622.14	Facility		$71.27	$71.27	$622.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $203.89 / $321.47	Professional		$142.59	$203.89	$321.47