Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $1,894.41 / $7,571.05	Facility		$99.75	$1,894.41	$7,571.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $124.13 / $275.70	Professional		$70.88	$124.13	$275.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $126.24 / $334.98	Professional		$96.57	$126.24	$334.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.42 / $93.42 / $6,213.00	Facility		$93.42	$93.42	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $93.42 / $180.32	Professional		$93.42	$93.42	$180.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $116.29 / $14,648.00	Facility		$116.29	$116.29	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $163.31 / $438.90	Professional		$80.67	$163.31	$438.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $116.37 / $332.00	Facility		$74.00	$116.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $180.57 / $365.58	Professional		$133.21	$180.57	$365.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $118.41 / $236.45	Professional		$101.14	$118.41	$236.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $192.41 / $192.41	Professional		$192.41	$192.41	$192.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $359.19 / $714.67	Facility		$118.12	$359.19	$714.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $555.00 / $74,999.25	Facility		$116.29	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $180.58 / $433.14	Professional		$86.26	$180.58	$433.14
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,786.00 / $4,851.00	Facility		$964.00	$2,786.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $153.50 / $340.37	Professional		$106.46	$153.50	$340.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $74.27 / $266.87	Facility		$74.27	$74.27	$266.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $160.10 / $258.36	Professional		$88.98	$160.10	$258.36