Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.12 / $3,599.00 / $10,170.00	Facility		$160.12	$3,599.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $230.30 / $614.14	Professional		$117.95	$230.30	$614.14
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 $162.84 / $221.62 / $600.51	Professional		$162.84	$221.62	$600.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $1,716.00 / $6,213.00	Facility		$188.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $188.27 / $188.27 / $371.62	Professional		$188.27	$188.27	$371.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $161.41	Facility		$161.41	$161.41	$161.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $270.52 / $712.24	Professional		$115.77	$270.52	$712.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $221.00 / $358.30	Facility		$112.98	$221.00	$358.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.17 / $328.36 / $483.00	Professional		$233.17	$328.36	$483.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $200.23 / $200.23	Facility		$200.23	$200.23	$200.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $258.66 / $456.29	Professional		$195.80	$258.66	$456.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,696.48 / $4,699.37 / $7,853.90	Facility		$3,696.48	$4,699.37	$7,853.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $555.00 / $597.00	Facility		$161.41	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $310.33 / $747.52	Professional		$141.90	$310.33	$747.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,682.00 / $7,355.00	Facility		$1,883.00	$3,682.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $311.18 / $781.77	Professional		$216.90	$311.18	$781.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $113.75 / $644.40	Facility		$113.75	$113.75	$644.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $269.00 / $456.29	Professional		$200.23	$269.00	$456.29