Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $162.79 / $263.37	Facility		$128.72	$162.79	$263.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $143.10 / $280.68	Professional		$105.76	$143.10	$280.68
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 $114.60 / $142.31 / $324.01	Professional		$114.60	$142.31	$324.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.94 / $158.94 / $6,213.00	Facility		$158.94	$158.94	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $158.94 / $201.44	Professional		$158.94	$158.94	$201.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $14,648.00	Facility		$191.07	$191.07	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $199.14 / $476.31	Professional		$117.77	$199.14	$476.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $136.63 / $332.00	Facility		$35.00	$136.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $219.86 / $322.16	Professional		$159.91	$219.86	$322.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.33 / $137.33 / $137.33	Facility		$137.33	$137.33	$137.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $175.12 / $311.31	Professional		$120.00	$175.12	$311.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.99 / $223.99 / $223.99	Facility		$223.99	$223.99	$223.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $311.77 / $397.63	Professional		$204.66	$311.77	$397.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $555.00 / $597.00	Facility		$191.07	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $202.22 / $476.10	Professional		$116.56	$202.22	$476.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $181.47 / $486.20	Professional		$128.34	$181.47	$486.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $135.41 / $385.24	Facility		$135.41	$135.41	$385.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $183.54 / $311.31	Professional		$127.46	$183.54	$311.31