Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $2,626.00 / $7,095.00	Facility		$149.58	$2,626.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $164.34 / $327.64	Professional		$109.60	$164.34	$327.64
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 $134.69 / $168.37 / $351.89	Professional		$134.69	$168.37	$351.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $160.19 / $4,050.00	Facility		$160.19	$160.19	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $160.19 / $225.13	Professional		$160.19	$160.19	$225.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $7,227.90	Facility		$197.86	$197.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $221.96 / $534.88	Professional		$118.05	$221.96	$534.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $180.00 / $332.00	Facility		$50.00	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $214.51 / $318.36	Professional		$164.63	$214.51	$318.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $146.71 / $146.71	Facility		$146.71	$146.71	$146.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $182.82 / $291.39	Professional		$134.78	$182.82	$291.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.30 / $1,669.50 / $5,131.35	Facility		$1,195.30	$1,669.50	$5,131.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $267.10 / $7,227.90	Facility		$197.86	$267.10	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $222.42 / $524.67	Professional		$121.10	$222.42	$524.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $2,860.00 / $5,253.00	Facility		$1,336.00	$2,860.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $180.79 / $420.04	Professional		$130.02	$180.79	$420.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $141.34 / $448.64	Facility		$141.34	$141.34	$448.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $206.13 / $321.41	Professional		$144.34	$206.13	$321.41