Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.51 / $3,020.00 / $7,735.00	Facility		$167.51	$3,020.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $149.88 / $212.15	Professional		$117.85	$149.88	$212.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $3,280.00 / $4,707.00	Facility		$1,655.00	$3,280.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $128.58 / $257.13	Professional		$103.54	$128.58	$257.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $175.96 / $175.96 / $175.96	Facility		$175.96	$175.96	$175.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $175.96 / $175.96	Professional		$175.96	$175.96	$175.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $199.21 / $431.35	Professional		$108.77	$199.21	$431.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $238.35 / $367.74	Facility		$147.78	$238.35	$367.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $179.57 / $254.64	Professional		$132.47	$179.57	$254.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $113.68 / $113.68	Facility		$113.68	$113.68	$113.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $170.52 / $257.82	Professional		$104.15	$170.52	$257.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.83 / $1,147.83 / $2,400.00	Facility		$1,147.83	$1,147.83	$2,400.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $74,999.25	Facility		$142.06	$142.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $190.02 / $405.85	Professional		$129.66	$190.02	$405.85
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,739.00 / $4,840.00	Facility		$835.00	$2,739.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $159.10 / $381.52	Professional		$112.51	$159.10	$381.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.85 / $154.85 / $497.78	Facility		$154.85	$154.85	$497.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $177.00 / $336.72	Professional		$113.50	$177.00	$336.72