Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.08 / $2,603.00 / $8,442.00	Facility		$211.08	$2,603.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $230.13 / $424.41	Professional		$157.52	$230.13	$424.41
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 $164.68 / $204.51 / $502.88	Professional		$164.68	$204.51	$502.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $229.78 / $1,716.00 / $6,213.00	Facility		$229.78	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $229.78 / $326.23	Professional		$229.78	$229.78	$326.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $282.58 / $4,612.43	Facility		$282.58	$282.58	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $309.42 / $713.29	Professional		$163.63	$309.42	$713.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $259.13 / $437.81	Facility		$165.00	$259.13	$437.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $315.61 / $471.37	Professional		$243.59	$315.61	$471.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $217.22 / $639.45	Facility		$217.22	$217.22	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $249.80 / $427.70	Professional		$191.51	$249.80	$427.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,334.92 / $5,334.92 / $5,334.92	Facility		$5,334.92	$5,334.92	$5,334.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $555.00 / $4,612.43	Facility		$282.58	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.92 / $316.42 / $710.00	Professional		$179.92	$316.42	$710.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,311.00 / $10,065.00	Facility		$1,693.00	$4,311.00	$10,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $276.02 / $651.15	Professional		$192.39	$276.02	$651.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.54 / $200.54 / $686.84	Facility		$200.54	$200.54	$686.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $305.19 / $471.77	Professional		$210.78	$305.19	$471.77