Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $2,518.00 / $7,307.00	Facility		$151.53	$2,518.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $183.29 / $414.97	Professional		$107.54	$183.29	$414.97
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 $157.85 / $231.91 / $462.20	Professional		$157.85	$231.91	$462.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $159.36 / $4,050.00	Facility		$159.36	$159.36	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $159.36 / $302.12	Professional		$159.36	$159.36	$302.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $192.17 / $3,479.91	Facility		$192.17	$192.17	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $250.17 / $644.15	Professional		$121.76	$250.17	$644.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $175.46 / $332.00	Facility		$50.00	$175.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $291.31 / $425.84	Professional		$221.54	$291.31	$425.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.97 / $195.97 / $195.97	Facility		$195.97	$195.97	$195.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $255.16 / $396.01	Professional		$134.91	$255.16	$396.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.17 / $517.17 / $520.26	Facility		$517.17	$517.17	$520.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.85 / $281.92 / $512.86	Professional		$278.85	$281.92	$512.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $382.58 / $3,479.91	Facility		$192.17	$382.58	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $266.11 / $623.14	Professional		$135.69	$266.11	$623.14
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 $154.83 / $225.37 / $513.16	Professional		$154.83	$225.37	$513.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $136.30 / $409.98	Facility		$136.30	$136.30	$409.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $286.17 / $428.23	Professional		$134.91	$286.17	$428.23