Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.85 / $2,626.00 / $7,235.00	Facility		$123.85	$2,626.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $149.58 / $279.95	Professional		$87.68	$149.58	$279.95
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 $129.11 / $178.14 / $359.84	Professional		$129.11	$178.14	$359.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.95 / $127.95 / $4,050.00	Facility		$127.95	$127.95	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $127.95 / $236.81	Professional		$127.95	$127.95	$236.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $154.03 / $3,479.91	Facility		$154.03	$154.03	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $202.21 / $512.98	Professional		$97.66	$202.21	$512.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $142.46 / $332.00	Facility		$65.00	$142.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $226.84 / $337.22	Professional		$175.06	$226.84	$337.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $155.40 / $155.40	Facility		$155.40	$155.40	$155.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $201.18 / $312.23	Professional		$116.91	$201.18	$312.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,359.00 / $1,359.00	Facility		$1,359.00	$1,359.00	$1,359.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $325.70 / $3,479.91	Facility		$154.03	$325.70	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $212.26 / $499.59	Professional		$105.87	$212.26	$499.59
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $183.36 / $432.94	Professional		$128.91	$183.36	$432.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.96 / $109.96 / $351.61	Facility		$109.96	$109.96	$351.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $225.63 / $337.64	Professional		$116.91	$225.63	$337.64