Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $2,193.00 / $7,200.50	Facility		$176.54	$2,193.00	$7,200.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $261.54 / $751.52	Professional		$134.71	$261.54	$751.52
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 $153.55 / $190.69 / $444.62	Professional		$153.55	$190.69	$444.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $180.27 / $4,050.00	Facility		$180.27	$180.27	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $180.27 / $300.58	Professional		$180.27	$180.27	$300.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $210.39 / $6,511.02	Facility		$210.39	$210.39	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $269.32 / $647.00	Professional		$134.88	$269.32	$647.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $211.33 / $346.00	Facility		$129.99	$211.33	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $276.05 / $413.12	Professional		$212.20	$276.05	$413.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.38 / $190.38 / $639.45	Facility		$190.38	$190.38	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $218.94 / $384.56	Professional		$87.78	$218.94	$384.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,230.52 / $2,879.94 / $3,491.68	Facility		$2,230.52	$2,879.94	$3,491.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.73 / $269.58 / $269.58	Professional		$178.73	$269.58	$269.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $597.00 / $6,511.02	Facility		$210.39	$597.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $269.32 / $605.01	Professional		$117.99	$269.32	$605.01
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 $167.60 / $230.64 / $515.11	Professional		$167.60	$230.64	$515.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $148.66 / $254.19	Facility		$148.66	$148.66	$254.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $274.98 / $393.46	Professional		$87.78	$274.98	$393.46