Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $2,012.00 / $7,307.00	Facility		$95.31	$2,012.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $108.63 / $332.44	Professional		$58.76	$108.63	$332.44
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 $99.23 / $122.25 / $245.25	Professional		$99.23	$122.25	$245.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $4,050.00	Facility		$94.41	$94.41	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $94.41 / $153.13	Professional		$94.41	$94.41	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $113.10 / $3,479.91	Facility		$113.10	$113.10	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $148.08 / $344.47	Professional		$76.01	$148.08	$344.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $79.81 / $332.00	Facility		$35.00	$79.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $146.90 / $219.84	Professional		$121.59	$146.90	$219.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $210.08 / $210.08	Facility		$210.08	$210.08	$210.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $131.69 / $210.08	Professional		$86.93	$131.69	$210.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.74 / $597.79 / $3,206.40	Facility		$333.74	$597.79	$3,206.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $158.16 / $158.16	Professional		$158.16	$158.16	$158.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $555.00 / $3,479.91	Facility		$113.10	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $154.33 / $344.47	Professional		$80.87	$154.33	$344.47
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 $105.02 / $140.38 / $278.43	Professional		$105.02	$140.38	$278.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $75.38 / $244.51	Facility		$75.38	$75.38	$244.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $131.69 / $222.02	Professional		$76.47	$131.69	$222.02