Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $2,394.00 / $7,307.00	Facility		$93.64	$2,394.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $148.72 / $321.30	Professional		$67.73	$148.72	$321.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $143.32 / $412.65	Professional		$114.41	$143.32	$412.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $104.97 / $4,050.00	Facility		$104.97	$104.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $104.97 / $282.10	Professional		$104.97	$104.97	$282.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $14,648.00	Facility		$123.68	$123.68	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $213.27 / $543.34	Professional		$78.26	$213.27	$543.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $123.78 / $332.00	Facility		$82.00	$123.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $265.94 / $398.90	Professional		$196.18	$265.94	$398.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $237.61 / $409.83	Professional		$157.97	$237.61	$409.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $151.94 / $187.61	Facility		$151.94	$151.94	$187.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $266.43 / $309.58	Professional		$207.90	$266.43	$309.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $597.00	Facility		$123.68	$123.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $229.82 / $576.69	Professional		$84.74	$229.82	$576.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $240.47 / $514.79	Professional		$165.60	$240.47	$514.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $87.02 / $363.65	Facility		$87.02	$87.02	$363.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $229.93 / $409.83	Professional		$159.44	$229.93	$409.83