Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $2,561.00 / $8,010.66	Facility		$191.43	$2,561.00	$8,010.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $198.18 / $405.66	Professional		$107.78	$198.18	$405.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,321.00 / $4,636.00	Facility		$1,691.00	$3,321.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $204.30 / $507.63	Professional		$156.28	$204.30	$507.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $212.19 / $1,254.00 / $4,050.00	Facility		$212.19	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.19 / $212.19 / $316.27	Professional		$212.19	$212.19	$316.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $259.73 / $3,479.91	Facility		$259.73	$259.73	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $285.19 / $654.61	Professional		$148.94	$285.19	$654.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $230.04 / $385.31	Facility		$140.00	$230.04	$385.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $315.42 / $469.39	Professional		$236.57	$315.42	$469.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $223.74 / $421.41	Professional		$91.06	$223.74	$421.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.34 / $3,460.35 / $4,537.00	Facility		$979.34	$3,460.35	$4,537.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $251.21 / $365.37	Professional		$158.10	$251.21	$365.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $555.00 / $3,479.91	Facility		$259.73	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $298.02 / $676.54	Professional		$152.68	$298.02	$676.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,871.00 / $4,840.00	Facility		$1,101.00	$2,871.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $291.45 / $584.01	Professional		$197.57	$291.45	$584.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.90 / $173.90 / $324.72	Facility		$173.90	$173.90	$324.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $286.81 / $462.85	Professional		$91.06	$286.81	$462.85