Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $2,626.00 / $7,235.00	Facility		$78.84	$2,626.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $90.26 / $246.31	Professional		$59.93	$90.26	$246.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $89.78 / $210.82	Professional		$68.68	$89.78	$210.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $4,050.00	Facility		$83.93	$83.93	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $83.93 / $134.06	Professional		$83.93	$83.93	$134.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.81 / $100.81 / $3,479.91	Facility		$100.81	$100.81	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $127.67 / $309.55	Professional		$67.75	$127.67	$309.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $100.56 / $332.00	Facility		$62.08	$100.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $128.63 / $192.52	Professional		$108.64	$128.63	$192.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $110.35 / $176.66	Professional		$77.02	$110.35	$176.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $907.68 / $1,469.22 / $3,853.25	Facility		$907.68	$1,469.22	$3,853.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.65	Professional		$197.65	$197.65	$197.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.81 / $555.00 / $3,479.91	Facility		$100.81	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $138.04 / $322.05	Professional		$79.56	$138.04	$322.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $125.19 / $256.94	Professional		$93.16	$125.19	$256.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $67.38 / $217.26	Facility		$67.38	$67.38	$217.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $115.34 / $194.04	Professional		$77.02	$115.34	$194.04