Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $92.46 / $722.09	Facility		$65.66	$92.46	$722.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $81.65 / $202.06	Professional		$56.65	$81.65	$202.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
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 $59.02 / $74.84 / $181.03	Professional		$59.02	$74.84	$181.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.54 / $112.26 / $271.77	Professional	50	$88.54	$112.26	$271.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $6,213.00	Facility		$76.70	$76.70	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $105.82	Professional		$76.70	$76.70	$105.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $14,648.00	Facility		$92.20	$92.20	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $108.00 / $250.65	Professional		$59.36	$108.00	$250.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $92.29 / $332.00	Facility		$58.00	$92.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $117.76 / $173.01	Professional		$84.37	$117.76	$173.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $72.45 / $72.45	Facility		$72.45	$72.45	$72.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $91.62 / $161.61	Professional		$64.68	$91.62	$161.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $107.51 / $137.13	Professional		$91.39	$107.51	$137.13
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.94 / $229.94 / $229.94	Professional	50	$229.94	$229.94	$229.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $555.00 / $597.00	Facility		$92.20	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $111.53 / $255.57	Professional		$64.56	$111.53	$255.57
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 $68.65 / $97.28 / $238.43	Professional		$68.65	$97.28	$238.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $65.16 / $333.65	Facility		$65.16	$65.16	$333.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $100.96 / $161.61	Professional		$72.45	$100.96	$161.61