Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $2,474.35 / $7,307.00	Facility		$100.47	$2,474.35	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $143.94 / $364.00	Professional		$73.77	$143.94	$364.00
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 $134.83 / $170.21 / $341.73	Professional		$134.83	$170.21	$341.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $105.71 / $4,050.00	Facility		$105.71	$105.71	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $105.71 / $217.91	Professional		$105.71	$105.71	$217.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $127.70 / $3,479.91	Facility		$127.70	$127.70	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $188.29 / $463.26	Professional		$81.05	$188.29	$463.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $128.58 / $332.00	Facility		$79.94	$128.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $202.03 / $324.45	Professional		$174.81	$202.03	$324.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $175.20 / $280.49	Professional		$116.83	$175.20	$280.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.36 / $399.75 / $2,805.50	Facility		$153.36	$399.75	$2,805.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.03 / $371.03 / $371.03	Professional		$371.03	$371.03	$371.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $555.00 / $3,479.91	Facility		$127.70	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $201.81 / $487.10	Professional		$98.26	$201.81	$487.10
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 $127.66 / $196.58 / $404.32	Professional		$127.66	$196.58	$404.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $85.88 / $222.91	Facility		$85.88	$85.88	$222.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $181.12 / $308.08	Professional		$106.11	$181.12	$308.08