Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $2,159.00 / $7,307.00	Facility		$127.42	$2,159.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $152.61 / $385.69	Professional		$102.66	$152.61	$385.69
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 $135.74 / $167.88 / $342.47	Professional		$135.74	$167.88	$342.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.12 / $143.12 / $6,213.00	Facility		$143.12	$143.12	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $143.12 / $212.35	Professional		$143.12	$143.12	$212.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.29 / $171.29 / $3,479.91	Facility		$171.29	$171.29	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $213.60 / $475.28	Professional		$115.66	$213.60	$475.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $244.00 / $390.40	Facility		$115.43	$244.00	$390.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $204.00 / $305.30	Professional		$175.20	$204.00	$305.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $174.81 / $279.87	Professional		$124.52	$174.81	$279.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.36 / $161.91 / $325.89	Facility		$153.36	$161.91	$325.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.23 / $311.23 / $311.23	Professional		$311.23	$311.23	$311.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.29 / $597.00 / $8,498.00	Facility		$171.29	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $220.31 / $494.03	Professional		$132.19	$220.31	$494.03
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 $141.91 / $200.36 / $410.09	Professional		$141.91	$200.36	$410.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $371.23	Facility		$115.27	$115.27	$371.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $182.89 / $308.70	Professional		$124.52	$182.89	$308.70