Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $2,626.00 / $7,307.00	Facility		$169.18	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $206.37 / $372.00	Professional		$119.49	$206.37	$372.00
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 $176.19 / $231.70 / $476.78	Professional		$176.19	$231.70	$476.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $168.28 / $4,050.00	Facility		$168.28	$168.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $168.28 / $317.24	Professional		$168.28	$168.28	$317.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $203.80 / $7,227.90	Facility		$203.80	$203.80	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $272.26 / $681.49	Professional		$135.96	$272.26	$681.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $183.48 / $332.00	Facility		$75.00	$183.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $302.12 / $438.93	Professional		$244.97	$302.12	$438.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $202.27 / $202.27	Facility		$202.27	$202.27	$202.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $263.74 / $409.33	Professional		$161.82	$263.74	$409.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,316.80 / $3,316.80 / $5,232.72	Facility		$3,316.80	$3,316.80	$5,232.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $429.12 / $7,227.90	Facility		$203.80	$429.12	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $289.63 / $649.97	Professional		$148.22	$289.63	$649.97
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 $175.28 / $245.88 / $551.21	Professional		$175.28	$245.88	$551.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $146.47 / $474.57	Facility		$146.47	$146.47	$474.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $295.80 / $442.63	Professional		$161.82	$295.80	$442.63