Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.61 / $2,626.00 / $7,307.00	Facility		$189.61	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $225.27 / $444.52	Professional		$128.96	$225.27	$444.52
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 $187.71 / $253.29 / $520.26	Professional		$187.71	$253.29	$520.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $191.31 / $4,050.00	Facility		$191.31	$191.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $191.31 / $343.14	Professional		$191.31	$191.31	$343.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $233.79 / $3,479.91	Facility		$233.79	$233.79	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $298.37 / $740.32	Professional		$146.87	$298.37	$740.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $203.00 / $362.03	Facility		$50.00	$203.00	$362.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $328.04 / $488.99	Professional		$253.10	$328.04	$488.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.34 / $225.34 / $225.34	Facility		$225.34	$225.34	$225.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $287.99 / $446.96	Professional		$173.33	$287.99	$446.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,711.39 / $1,711.39 / $1,711.39	Facility		$1,711.39	$1,711.39	$1,711.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.61 / $316.61 / $316.61	Professional		$316.61	$316.61	$316.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $441.16 / $3,479.91	Facility		$233.79	$441.16	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $314.81 / $702.78	Professional		$159.83	$314.81	$702.78
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 $193.91 / $273.37 / $650.88	Professional		$193.91	$273.37	$650.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $165.58 / $385.75	Facility		$165.58	$165.58	$385.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $322.99 / $457.30	Professional		$173.33	$322.99	$457.30