Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $2,842.00 / $7,095.00	Facility		$124.64	$2,842.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $166.78 / $310.62	Professional		$72.12	$166.78	$310.62
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 $108.72 / $143.44 / $391.17	Professional		$108.72	$143.44	$391.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.25 / $1,254.00 / $4,050.00	Facility		$102.25	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $102.25 / $258.86	Professional		$102.25	$102.25	$258.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $3,479.91	Facility		$123.68	$123.68	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $203.02 / $536.58	Professional		$79.70	$203.02	$536.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $121.10 / $332.00	Facility		$70.00	$121.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $185.82 / $345.27	Professional		$75.56	$185.82	$345.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $164.11 / $482.13	Facility		$164.11	$164.11	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $233.03 / $334.37	Professional		$144.38	$233.03	$334.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.65 / $1,183.65 / $1,183.65	Facility		$1,183.65	$1,183.65	$1,183.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $101.70 / $101.70	Professional		$101.70	$101.70	$101.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $597.00 / $5,855.00	Facility		$123.68	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $219.14 / $510.68	Professional		$93.26	$219.14	$510.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $188.73 / $461.61	Professional		$131.88	$188.73	$461.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $105.45 / $482.13	Facility		$105.45	$105.45	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $241.63 / $361.58	Professional		$144.38	$241.63	$361.58