Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.80 / $2,626.00 / $8,134.00	Facility		$185.80	$2,626.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $243.37 / $526.73	Professional		$129.94	$243.37	$526.73
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 $198.71 / $332.84 / $590.29	Professional		$198.71	$332.84	$590.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.31 / $265.31 / $4,050.00	Facility		$265.31	$265.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $265.31 / $455.81	Professional		$265.31	$265.31	$455.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $305.08 / $7,227.90	Facility		$305.08	$305.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $342.16 / $821.99	Professional		$163.75	$342.16	$821.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $224.34 / $485.08	Facility		$26.00	$224.34	$485.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $423.30 / $628.15	Professional		$326.77	$423.30	$628.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.22 / $289.22 / $289.22	Facility		$289.22	$289.22	$289.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $371.74 / $576.92	Professional		$155.66	$371.74	$576.92
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $261.42	Professional		$261.42	$261.42	$261.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.27 / $420.70 / $420.70	Professional		$342.27	$420.70	$420.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $555.00 / $7,227.90	Facility		$305.08	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $375.43 / $792.44	Professional		$169.76	$375.43	$792.44
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $326.77 / $824.54	Professional		$227.79	$326.77	$824.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $220.10 / $220.10 / $355.95	Facility		$220.10	$220.10	$355.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $416.92 / $590.28	Professional		$155.66	$416.92	$590.28