Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $2,890.00 / $7,307.00	Facility		$53.32	$2,890.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.18 / $130.93	Professional		$40.74	$54.18	$130.93
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 $45.47 / $56.46 / $117.44	Professional		$45.47	$56.46	$117.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $57.71 / $4,050.00	Facility		$57.71	$57.71	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $71.55	Professional		$57.71	$57.71	$71.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $14,648.00	Facility		$69.06	$69.06	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $81.53 / $173.53	Professional		$43.81	$81.53	$173.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $68.63 / $332.00	Facility		$42.48	$68.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $67.28 / $100.69	Professional		$57.85	$67.28	$100.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $48.75 / $91.81	Professional		$40.86	$48.75	$91.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $80.95	Facility		$80.95	$80.95	$80.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $119.41 / $119.41	Professional		$119.41	$119.41	$119.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $74,999.25	Facility		$69.06	$69.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $80.84 / $173.53	Professional		$44.82	$80.84	$173.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $68.97 / $133.22	Professional		$48.72	$68.97	$133.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $45.66 / $150.49	Facility		$45.66	$45.66	$150.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $60.32 / $101.71	Professional		$43.47	$60.32	$101.71