Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $2,892.00 / $7,839.00	Facility		$218.91	$2,892.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $274.83 / $587.71	Professional		$150.77	$274.83	$587.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $570.62 / $881.57	Professional	50	$459.93	$570.62	$881.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $270.10 / $682.20	Professional		$208.75	$270.10	$682.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $313.12 / $405.15 / $1,026.11	Professional	50	$313.12	$405.15	$1,026.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $1,716.00 / $6,213.00	Facility		$206.94	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $206.94 / $399.83	Professional		$206.94	$206.94	$399.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $10,297.11	Facility		$251.86	$251.86	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $365.65 / $886.60	Professional		$175.12	$365.65	$886.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $209.42 / $384.62	Facility		$129.21	$209.42	$384.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.73 / $383.26 / $573.57	Professional		$296.73	$383.26	$573.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $264.32 / $527.71	Professional		$233.62	$264.32	$527.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $54.82 / $5,093.00	Facility		$51.32	$54.82	$5,093.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $597.00 / $10,297.11	Facility		$251.86	$597.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $382.57 / $872.06	Professional		$188.85	$382.57	$872.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,059.92 / $8,133.00	Facility		$1,768.00	$4,059.92	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.75 / $337.08 / $790.07	Professional		$229.75	$337.08	$790.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.81 / $160.81 / $221.02	Facility		$160.81	$160.81	$221.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $310.88 / $527.71	Professional		$233.62	$310.88	$527.71