Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $3,543.00 / $9,451.54	Facility		$115.10	$3,543.00	$9,451.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $172.25 / $365.19	Professional		$77.37	$172.25	$365.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $242.80 / $242.80 / $242.80	Professional	50	$242.80	$242.80	$242.80
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 $151.41 / $192.31 / $432.23	Professional		$151.41	$192.31	$432.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $227.13 / $288.47 / $648.34	Professional	50	$227.13	$288.47	$648.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $109.07 / $8,917.50	Facility		$109.07	$109.07	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $109.07 / $250.40	Professional		$109.07	$109.07	$250.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.70 / $126.70 / $3,479.91	Facility		$126.70	$126.70	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $218.16 / $582.53	Professional		$88.66	$218.16	$582.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $124.31 / $332.00	Facility		$77.31	$124.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $234.91 / $351.56	Professional		$179.74	$234.91	$351.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $173.81 / $325.42	Professional		$142.58	$173.81	$325.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,501.00 / $4,617.96 / $9,295.00	Facility		$2,501.00	$4,617.96	$9,295.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.70 / $555.00 / $3,479.91	Facility		$126.70	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $231.68 / $561.49	Professional		$105.88	$231.68	$561.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $222.79 / $541.39	Professional		$158.72	$222.79	$541.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $80.14 / $101.40	Facility		$80.14	$80.14	$101.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $187.47 / $348.93	Professional		$121.19	$187.47	$348.93