Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $124.92 / $210.09	Facility		$85.54	$124.92	$210.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $118.28 / $203.49	Professional		$80.36	$118.28	$203.49
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 $94.81 / $120.23 / $275.39	Professional		$94.81	$120.23	$275.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.92 / $115.92 / $4,050.00	Facility		$115.92	$115.92	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $115.92 / $169.87	Professional		$115.92	$115.92	$169.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $14,648.00	Facility		$140.37	$140.37	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $158.75 / $390.38	Professional		$89.80	$158.75	$390.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $129.00 / $332.00	Facility		$85.00	$129.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $194.59 / $287.30	Professional		$136.84	$194.59	$287.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.51 / $117.51 / $117.51	Facility		$117.51	$117.51	$117.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $148.09 / $261.23	Professional		$99.20	$148.09	$261.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.78 / $405.78 / $405.78	Facility		$405.78	$405.78	$405.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $555.00 / $597.00	Facility		$140.37	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $168.40 / $390.38	Professional		$95.47	$168.40	$390.38
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 $107.25 / $148.96 / $362.02	Professional		$107.25	$148.96	$362.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $394.64	Facility		$97.54	$97.54	$394.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $163.76 / $261.23	Professional		$99.20	$163.76	$261.23