Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $2,626.00 / $7,307.00	Facility		$63.53	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $84.45 / $213.16	Professional		$44.28	$84.45	$213.16
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 $86.53 / $118.47 / $210.94	Professional		$86.53	$118.47	$210.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $62.19 / $4,050.00	Facility		$62.19	$62.19	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $62.19 / $141.44	Professional		$62.19	$62.19	$141.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $114.98 / $3,479.91	Facility		$114.98	$114.98	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $126.25 / $298.10	Professional		$55.06	$126.25	$298.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $215.00 / $346.00	Facility		$79.98	$215.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $176.47 / $300.00	Professional		$141.57	$176.47	$300.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $121.70 / $194.03	Professional		$46.58	$121.70	$194.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $523.40 / $523.40	Facility		$523.40	$523.40	$523.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Professional		$104.21	$104.21	$104.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $555.00 / $3,479.91	Facility		$114.98	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $131.79 / $310.92	Professional		$63.88	$131.79	$310.92
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 $82.78 / $121.26 / $274.22	Professional		$82.78	$121.26	$274.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $47.33 / $161.11	Facility		$47.33	$47.33	$161.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $110.80 / $208.74	Professional		$46.58	$110.80	$208.74