Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.92 / $2,220.00 / $9,661.00	Facility		$81.92	$2,220.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $115.89 / $219.86	Professional		$65.34	$115.89	$219.86
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 $75.15 / $98.24 / $271.36	Professional		$75.15	$98.24	$271.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $89.57 / $4,050.00	Facility		$89.57	$89.57	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $89.57 / $180.77	Professional		$89.57	$89.57	$180.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $14,648.00	Facility		$109.76	$109.76	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $135.79 / $321.08	Professional		$65.62	$135.79	$321.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $111.04 / $332.00	Facility		$68.41	$111.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $178.95 / $268.42	Professional		$132.01	$178.95	$268.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $165.85 / $258.83	Professional		$96.20	$165.85	$258.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $720.73 / $3,546.52	Facility		$175.84	$720.73	$3,546.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $129.21 / $129.21	Professional		$129.21	$129.21	$129.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $597.00	Facility		$109.76	$109.76	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $147.91 / $336.91	Professional		$64.70	$147.91	$336.91
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 $103.54 / $148.19 / $437.45	Professional		$103.54	$148.19	$437.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $82.69 / $222.36	Facility		$82.69	$82.69	$222.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $165.85 / $258.83	Professional		$96.20	$165.85	$258.83