Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $1,819.00 / $7,185.00	Facility		$143.94	$1,819.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $161.13 / $375.20	Professional		$110.02	$161.13	$375.20
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 $143.94 / $179.35 / $394.10	Professional		$143.94	$179.35	$394.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.12 / $154.12 / $6,213.00	Facility		$154.12	$154.12	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $154.12 / $226.21	Professional		$154.12	$154.12	$226.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $185.99 / $3,479.91	Facility		$185.99	$185.99	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $229.06 / $508.92	Professional		$120.53	$229.06	$508.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $244.00 / $411.88	Facility		$126.06	$244.00	$411.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $217.62 / $325.67	Professional		$187.77	$217.62	$325.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $185.48 / $296.95	Professional		$131.78	$185.48	$296.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $1,037.09 / $1,664.35	Facility		$50.00	$1,037.09	$1,664.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.98 / $387.98 / $387.98	Professional		$387.98	$387.98	$387.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $597.00 / $8,498.00	Facility		$185.99	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $235.04 / $527.08	Professional		$141.10	$235.04	$527.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $212.19 / $437.52	Professional		$157.58	$212.19	$437.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.67 / $123.67 / $398.21	Facility		$123.67	$123.67	$398.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $194.55 / $327.54	Professional		$131.78	$194.55	$327.54