Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $2,900.00 / $8,134.00	Facility		$115.57	$2,900.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $142.29 / $389.25	Professional		$85.28	$142.29	$389.25
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 $118.20 / $262.75 / $387.12	Professional		$118.20	$262.75	$387.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.75 / $1,254.00 / $4,050.00	Facility		$126.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $126.75 / $218.42	Professional		$126.75	$126.75	$218.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $148.10 / $3,479.91	Facility		$148.10	$148.10	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $207.51 / $543.11	Professional		$95.63	$207.51	$543.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $137.69 / $332.00	Facility		$85.00	$137.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $340.02 / $504.69	Professional		$262.56	$340.02	$504.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $232.21 / $482.13	Facility		$232.21	$232.21	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $419.97 / $692.88	Professional		$98.99	$419.97	$692.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,734.04 / $1,734.04 / $6,633.60	Facility		$1,734.04	$1,734.04	$6,633.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $203.82 / $207.38	Professional		$203.82	$203.82	$207.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $555.00 / $3,479.91	Facility		$148.10	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $208.82 / $516.65	Professional		$103.02	$208.82	$516.65
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 $117.76 / $183.02 / $423.36	Professional		$117.76	$183.02	$423.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.25 / $103.25 / $322.55	Facility		$103.25	$103.25	$322.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $382.13 / $692.88	Professional		$98.99	$382.13	$692.88