Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $247.71 / $3,183.00	Facility		$33.46	$247.71	$3,183.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $41.38 / $111.91	Professional		$25.74	$41.38	$111.91
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 $32.61 / $41.43 / $92.30	Professional		$32.61	$41.43	$92.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $4,050.00	Facility		$40.79	$40.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $57.51	Professional		$40.79	$40.79	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $49.24 / $14,648.00	Facility		$49.24	$49.24	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $57.45 / $132.78	Professional		$31.69	$57.45	$132.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $44.50 / $332.00	Facility		$28.00	$44.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $67.48 / $96.73	Professional		$50.56	$67.48	$96.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Facility		$40.17	$40.17	$40.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $56.83 / $89.60	Professional		$34.54	$56.83	$89.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $152.08 / $529.91	Facility		$70.38	$152.08	$529.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $55.97 / $100.39	Professional		$48.79	$55.97	$100.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $555.00 / $597.00	Facility		$49.24	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $58.71 / $126.72	Professional		$32.00	$58.71	$126.72
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 $36.45 / $51.23 / $131.96	Professional		$36.45	$51.23	$131.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $129.80	Facility		$34.60	$34.60	$129.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $56.83 / $89.60	Professional		$35.96	$56.83	$89.60