Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.74 / $2,792.00 / $7,307.00	Facility		$252.74	$2,792.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $245.74 / $519.79	Professional		$195.29	$245.74	$519.79
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 $191.98 / $243.43 / $545.17	Professional		$191.98	$243.43	$545.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $312.20 / $312.20 / $6,213.00	Facility		$312.20	$312.20	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $312.20 / $329.87	Professional		$312.20	$312.20	$329.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $383.97 / $14,648.00	Facility		$383.97	$383.97	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.47 / $335.28 / $841.89	Professional		$226.47	$335.28	$841.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $292.50 / $615.55	Facility		$195.00	$292.50	$615.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $378.54 / $557.98	Professional		$267.10	$378.54	$557.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $229.37 / $229.37	Facility		$229.37	$229.37	$229.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $290.70 / $512.82	Professional		$182.14	$290.70	$512.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.51 / $324.04 / $621.19	Professional		$320.51	$324.04	$621.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $555.00 / $597.00	Facility		$383.97	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $339.05 / $823.35	Professional		$227.66	$339.05	$823.35
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 $203.87 / $286.70 / $735.77	Professional		$203.87	$286.70	$735.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $274.91 / $863.84	Facility		$274.91	$274.91	$863.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $319.64 / $581.12	Professional		$197.68	$319.64	$581.12