Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.04 / $3,100.00 / $10,170.00	Facility		$248.04	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $247.89 / $403.57	Professional		$206.91	$247.89	$403.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,377.00 / $4,085.00 / $8,281.00	Facility		$2,377.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $219.07 / $499.15	Professional		$176.41	$219.07	$499.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $299.33 / $37,499.62	Facility		$299.33	$299.33	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $299.33 / $299.33	Professional		$299.33	$299.33	$299.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $238.55 / $7,227.90	Facility		$238.55	$238.55	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $360.24 / $789.90	Professional		$177.13	$360.24	$789.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $235.61 / $345.00 / $717.50	Facility		$235.61	$345.00	$717.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $284.69 / $426.06	Professional		$214.92	$284.69	$426.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.34 / $196.34 / $196.34	Facility		$196.34	$196.34	$196.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $251.26 / $389.96	Professional		$180.13	$251.26	$389.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.30 / $668.30 / $668.30	Facility		$668.30	$668.30	$668.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $555.00 / $7,227.90	Facility		$238.55	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $316.02 / $739.44	Professional		$218.83	$316.02	$739.44
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $245.01 / $588.00	Professional		$173.61	$245.01	$588.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $251.26 / $842.32	Facility		$251.26	$251.26	$842.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $281.80 / $534.16	Professional		$180.13	$281.80	$534.16