Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $2,626.00 / $7,343.00	Facility		$104.83	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $106.67 / $233.03	Professional		$72.94	$106.67	$233.03
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 $77.62 / $98.42 / $236.05	Professional		$77.62	$98.42	$236.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $109.28 / $4,050.00	Facility		$109.28	$109.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $159.88	Professional		$109.28	$109.28	$159.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $131.76 / $131.76	Facility		$131.76	$131.76	$131.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $145.10 / $348.89	Professional		$86.10	$145.10	$348.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $121.67 / $332.00	Facility		$77.00	$121.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $180.67 / $266.13	Professional		$126.44	$180.67	$266.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.66 / $109.66 / $109.66	Facility		$109.66	$109.66	$109.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $119.82 / $248.68	Professional		$66.63	$119.82	$248.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $137.96 / $152.66	Professional		$113.26	$137.96	$152.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $555.00 / $597.00	Facility		$131.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $148.03 / $343.36	Professional		$85.03	$148.03	$343.36
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 $95.58 / $135.01 / $354.41	Professional		$95.58	$135.01	$354.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $94.38 / $200.84	Facility		$94.38	$94.38	$200.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $152.82 / $248.68	Professional		$88.14	$152.82	$248.68