Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $1,819.00 / $7,095.00	Facility		$96.44	$1,819.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $199.62 / $452.10	Professional		$72.98	$199.62	$452.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $208.50 / $502.77	Professional		$158.02	$208.50	$502.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.33 / $99.33 / $4,050.00	Facility		$99.33	$99.33	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $99.33 / $256.41	Professional		$99.33	$99.33	$256.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $34,034.00 / $41,004.00	Facility		$119.71	$34,034.00	$41,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $179.20 / $477.45	Professional		$77.29	$179.20	$477.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.54 / $134.94 / $610.00	Facility		$83.54	$134.94	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $236.81 / $341.40	Professional		$180.42	$236.81	$341.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $215.77 / $357.73	Professional		$155.74	$215.77	$357.73
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $177.61 / $177.61 / $177.61	Professional		$177.61	$177.61	$177.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.04 / $1,158.04 / $1,571.48	Facility		$1,158.04	$1,158.04	$1,571.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $87.22	Professional		$87.22	$87.22	$87.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $41,004.00 / $41,004.00	Facility		$119.71	$41,004.00	$41,004.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $222.52 / $513.00	Professional		$85.48	$222.52	$513.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,507.00 / $4,583.00	Facility		$1,101.00	$2,507.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $239.62 / $538.44	Professional		$177.71	$239.62	$538.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $87.21 / $143.04	Facility		$87.21	$87.21	$143.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $212.64 / $357.73	Professional		$151.86	$212.64	$357.73