Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $2,626.00 / $7,307.00	Facility		$176.03	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $176.03 / $336.78	Professional		$131.63	$176.03	$336.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $177.81 / $393.35	Professional		$140.75	$177.81	$393.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $1,254.00 / $4,050.00	Facility		$190.19	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $190.19 / $252.74	Professional		$190.19	$190.19	$252.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $235.12 / $586.40	Professional		$138.91	$235.12	$586.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $205.51 / $340.94	Facility		$147.00	$205.51	$340.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $262.14 / $384.61	Professional		$189.00	$262.14	$384.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.30 / $162.30 / $162.30	Facility		$162.30	$162.30	$162.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $207.99 / $366.90	Professional		$143.08	$207.99	$366.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $188.58 / $188.58	Professional		$188.58	$188.58	$188.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $555.00 / $597.00	Facility		$223.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $244.81 / $582.54	Professional		$150.91	$244.81	$582.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $216.49 / $549.41	Professional		$156.82	$216.49	$549.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $159.03 / $650.29	Facility		$159.03	$159.03	$650.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $226.19 / $366.90	Professional		$145.26	$226.19	$366.90