Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $2,660.00 / $7,307.00	Facility		$229.64	$2,660.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $222.02 / $390.33	Professional		$176.67	$222.02	$390.33
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 $170.24 / $215.86 / $484.62	Professional		$170.24	$215.86	$484.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $261.64 / $4,050.00	Facility		$261.64	$261.64	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $261.64 / $307.95	Professional		$261.64	$261.64	$307.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $14,648.00	Facility		$320.20	$320.20	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $308.74 / $731.84	Professional		$191.27	$308.74	$731.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $234.92 / $504.16	Facility		$115.00	$234.92	$504.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $345.64 / $508.13	Professional		$246.53	$345.64	$508.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.71 / $211.71 / $211.71	Facility		$211.71	$211.71	$211.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $211.71 / $406.93	Professional		$156.87	$211.71	$406.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.86 / $262.86 / $262.86	Professional		$262.86	$262.86	$262.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $555.00 / $597.00	Facility		$320.20	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $314.39 / $728.21	Professional		$191.27	$314.39	$728.21
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 $193.61 / $277.68 / $734.20	Professional		$193.61	$277.68	$734.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $198.30 / $198.30 / $846.13	Facility		$198.30	$198.30	$846.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $258.10 / $421.58	Professional		$173.99	$258.10	$421.58