Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $2,282.00 / $7,235.00	Facility		$150.38	$2,282.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $170.87 / $322.48	Professional		$105.22	$170.87	$322.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $145.80 / $382.51	Professional		$114.98	$145.80	$382.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $1,254.00 / $4,050.00	Facility		$159.88	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $159.88 / $242.96	Professional		$159.88	$159.88	$242.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $193.14	Facility		$193.14	$193.14	$193.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $214.79 / $563.46	Professional		$119.82	$214.79	$563.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $148.60 / $332.00	Facility		$75.00	$148.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $250.61 / $367.28	Professional		$181.86	$250.61	$367.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $195.79 / $355.61	Professional		$141.41	$195.79	$355.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $1,083.29 / $2,057.06	Facility		$721.90	$1,083.29	$2,057.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $555.00 / $37,776.00	Facility		$193.14	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $230.74 / $572.40	Professional		$128.59	$230.74	$572.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $227.21 / $521.60	Professional		$153.13	$227.21	$521.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $131.74 / $538.47	Facility		$131.74	$131.74	$538.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $214.14 / $355.61	Professional		$148.90	$214.14	$355.61