Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $3,060.00 / $9,038.00	Facility		$96.80	$3,060.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $105.39 / $214.79	Professional		$68.56	$105.39	$214.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $100.69 / $252.43	Professional		$77.02	$100.69	$252.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.46 / $97.46 / $4,050.00	Facility		$97.46	$97.46	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $97.46 / $163.35	Professional		$97.46	$97.46	$163.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $14,648.00	Facility		$118.90	$118.90	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $130.63 / $328.84	Professional		$71.06	$130.63	$328.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.92 / $119.75 / $332.00	Facility		$73.92	$119.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $164.63 / $246.94	Professional		$121.45	$164.63	$246.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $142.16 / $238.59	Professional		$84.59	$142.16	$238.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $88.80 / $88.80	Facility		$88.80	$88.80	$88.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $84.67 / $84.67	Professional		$84.67	$84.67	$84.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $597.00	Facility		$118.90	$118.90	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $138.33 / $328.97	Professional		$70.50	$138.33	$328.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $133.84 / $401.14	Professional		$94.79	$133.84	$401.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $89.77 / $246.37	Facility		$89.77	$89.77	$246.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $171.70 / $238.59	Professional		$84.59	$171.70	$238.59