Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $1,808.90 / $7,839.00	Facility		$105.24	$1,808.90	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $121.61 / $294.25	Professional		$80.65	$121.61	$294.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $103.13 / $257.83	Professional		$81.31	$103.13	$257.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.14 / $113.14 / $6,213.00	Facility		$113.14	$113.14	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $113.14 / $147.04	Professional		$113.14	$113.14	$147.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $134.08 / $134.08	Facility		$134.08	$134.08	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $148.27 / $342.35	Professional		$83.78	$148.27	$342.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $127.50 / $332.00	Facility		$85.00	$127.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $155.57 / $227.49	Professional		$113.63	$155.57	$227.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $130.47 / $223.36	Professional		$93.79	$130.47	$223.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $371.46 / $474.90	Facility		$160.22	$371.46	$474.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $120.75 / $120.75	Professional		$120.75	$120.75	$120.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $555.00 / $23,612.00	Facility		$134.08	$555.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $149.38 / $363.58	Professional		$91.19	$149.38	$363.58
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 $91.13 / $132.71 / $337.92	Professional		$91.13	$132.71	$337.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $97.40 / $375.54	Facility		$97.40	$97.40	$375.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $135.99 / $223.36	Professional		$97.58	$135.99	$223.36