Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $2,626.00 / $7,735.00	Facility		$147.22	$2,626.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $216.19 / $566.46	Professional		$108.29	$216.19	$566.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $191.57 / $469.44	Professional		$149.68	$191.57	$469.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.28 / $1,254.00 / $4,050.00	Facility		$153.28	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $153.28 / $312.75	Professional		$153.28	$153.28	$312.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $181.76 / $3,479.91	Facility		$181.76	$181.76	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $261.31 / $647.96	Professional		$118.12	$261.31	$647.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $143.66 / $332.00	Facility		$35.00	$143.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $286.54 / $425.19	Professional		$221.13	$286.54	$425.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $195.94 / $482.13	Facility		$195.94	$195.94	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $258.37 / $400.99	Professional		$164.81	$258.37	$400.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.92 / $1,835.92 / $2,469.12	Facility		$1,835.92	$1,835.92	$2,469.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $555.00 / $3,479.91	Facility		$181.76	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $277.47 / $627.20	Professional		$130.37	$277.47	$627.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $249.71 / $586.12	Professional		$171.84	$249.71	$586.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $132.40 / $420.28	Facility		$132.40	$132.40	$420.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $281.48 / $410.26	Professional		$164.81	$281.48	$410.26