Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $2,225.48 / $8,521.49	Facility		$117.25	$2,225.48	$8,521.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $130.00 / $341.16	Professional		$97.30	$130.00	$341.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $109.60 / $261.29	Professional		$83.84	$109.60	$261.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.79 / $142.79 / $4,050.00	Facility		$142.79	$142.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $142.79 / $142.79	Professional		$142.79	$142.79	$142.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $117.40 / $3,479.91	Facility		$117.40	$117.40	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $216.48 / $495.00	Professional		$126.50	$216.48	$495.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $332.00 / $618.41	Facility		$122.23	$332.00	$618.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $136.33 / $215.26	Professional		$120.97	$136.33	$215.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $96.49 / $188.68	Professional		$73.77	$96.49	$188.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,833.29 / $4,074.10 / $6,185.97	Facility		$1,833.29	$4,074.10	$6,185.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $555.00 / $3,479.91	Facility		$117.40	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $220.00 / $500.00	Professional		$126.08	$220.00	$500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $136.62 / $291.67	Professional		$98.72	$136.62	$291.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $109.83 / $367.56	Facility		$109.83	$109.83	$367.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $109.83 / $213.36	Professional		$82.25	$109.83	$213.36