Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.58 / $2,159.00 / $7,095.00	Facility		$143.58	$2,159.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $183.78 / $357.68	Professional		$107.01	$183.78	$357.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $228.92 / $426.36	Professional		$154.66	$228.92	$426.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $154.36 / $6,213.00	Facility		$154.36	$154.36	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $154.36 / $297.60	Professional		$154.36	$154.36	$297.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $186.59 / $3,479.91	Facility		$186.59	$186.59	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $244.75 / $625.48	Professional		$119.03	$244.75	$625.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $170.89 / $332.00	Facility		$50.00	$170.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.69 / $280.25 / $416.53	Professional		$216.69	$280.25	$416.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $190.75 / $190.75	Facility		$190.75	$190.75	$190.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $248.22 / $385.24	Professional		$133.97	$248.22	$385.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $519.12 / $1,040.00	Facility		$239.86	$519.12	$1,040.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $348.16 / $3,479.91	Facility		$186.59	$348.16	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $260.35 / $600.00	Professional		$130.94	$260.35	$600.00
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $227.34 / $494.07	Professional		$163.35	$227.34	$494.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $132.13 / $382.84	Facility		$132.13	$132.13	$382.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $278.39 / $416.59	Professional		$133.97	$278.39	$416.59