Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $1,854.00 / $7,095.00	Facility		$129.36	$1,854.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $135.81 / $300.81	Professional		$92.73	$135.81	$300.81
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 $107.72 / $136.08 / $304.39	Professional		$107.72	$136.08	$304.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $139.44 / $6,213.00	Facility		$139.44	$139.44	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $139.44 / $188.15	Professional		$139.44	$139.44	$188.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $14,648.00	Facility		$168.47	$168.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $177.01 / $452.63	Professional		$108.60	$177.01	$452.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $121.06 / $332.00	Facility		$40.00	$121.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $213.45 / $314.82	Professional		$150.62	$213.45	$314.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $129.34	Facility		$129.34	$129.34	$129.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $163.71 / $288.77	Professional		$111.68	$163.71	$288.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.67 / $339.67 / $457.95	Facility		$339.67	$339.67	$457.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $187.88 / $241.86	Professional		$159.69	$187.88	$241.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $555.00 / $597.00	Facility		$168.47	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $183.60 / $445.04	Professional		$112.82	$183.60	$445.04
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 $118.78 / $168.83 / $410.62	Professional		$118.78	$168.83	$410.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $118.30 / $472.38	Facility		$118.30	$118.30	$472.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $180.25 / $288.77	Professional		$112.81	$180.25	$288.77