Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $2,626.00 / $7,168.00	Facility		$73.64	$2,626.00	$7,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $99.45 / $163.54	Professional		$54.41	$99.45	$163.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $99.53 / $229.95	Professional		$77.30	$99.53	$229.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $74.37 / $4,050.00	Facility		$74.37	$74.37	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $74.37 / $145.03	Professional		$74.37	$74.37	$145.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $3,479.91	Facility		$88.85	$88.85	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $126.35 / $339.78	Professional		$60.35	$126.35	$339.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $85.86 / $332.00	Facility		$52.00	$85.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $127.17 / $189.57	Professional		$96.89	$127.17	$189.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $87.36 / $87.36	Facility		$87.36	$87.36	$87.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $103.83 / $177.33	Professional		$82.89	$103.83	$177.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.94 / $1,932.90 / $2,265.17	Facility		$434.94	$1,932.90	$2,265.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $169.74 / $3,479.91	Facility		$88.85	$169.74	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $137.43 / $318.45	Professional		$65.00	$137.43	$318.45
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 $80.86 / $117.07 / $263.86	Professional		$80.86	$117.07	$263.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $241.71	Facility		$63.32	$63.32	$241.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $128.15 / $191.76	Professional		$90.09	$128.15	$191.76