Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $2,884.50 / $10,170.00	Facility		$186.76	$2,884.50	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $211.33 / $395.72	Professional		$132.88	$211.33	$395.72
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 $148.57 / $187.73 / $471.52	Professional		$148.57	$187.73	$471.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $189.31 / $6,213.00	Facility		$189.31	$189.31	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $189.31 / $309.14	Professional		$189.31	$189.31	$309.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $226.85 / $4,612.43	Facility		$226.85	$226.85	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $283.70 / $680.99	Professional		$143.59	$283.70	$680.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $203.87 / $352.85	Facility		$75.00	$203.87	$352.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $291.74 / $435.67	Professional		$224.98	$291.74	$435.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $200.77 / $200.77	Facility		$200.77	$200.77	$200.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $232.00 / $404.37	Professional		$182.96	$232.00	$404.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,323.39 / $3,323.39 / $3,323.39	Facility		$3,323.39	$3,323.39	$3,323.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $555.00 / $16,269.00	Facility		$226.85	$555.00	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $300.29 / $650.00	Professional		$165.00	$300.29	$650.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $3,847.00 / $9,047.00	Facility		$1,585.00	$3,847.00	$9,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $240.92 / $546.84	Professional		$168.18	$240.92	$546.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.62 / $162.62 / $474.57	Facility		$162.62	$162.62	$474.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $292.20 / $437.27	Professional		$200.77	$292.20	$437.27