Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.28 / $2,792.00 / $7,521.00	Facility		$174.28	$2,792.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $229.15 / $451.58	Professional		$115.34	$229.15	$451.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $235.78 / $586.77	Professional		$190.61	$235.78	$586.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $169.75 / $4,050.00	Facility		$169.75	$169.75	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $169.75 / $375.06	Professional		$169.75	$169.75	$375.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $6,511.02	Facility		$201.46	$201.46	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $274.33 / $735.24	Professional		$128.27	$274.33	$735.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $197.78 / $434.66	Facility		$123.00	$197.78	$434.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $347.43 / $521.15	Professional		$256.30	$347.43	$521.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $293.87 / $533.76	Professional		$212.27	$293.87	$533.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $161.91 / $1,038.89	Facility		$147.69	$161.91	$1,038.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $174.90 / $174.90	Professional		$174.90	$174.90	$174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $6,511.02	Facility		$201.46	$201.46	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $317.14 / $781.47	Professional		$139.15	$317.14	$781.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $3,511.00 / $5,963.00	Facility		$1,544.00	$3,511.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.57 / $349.08 / $719.51	Professional		$247.57	$349.08	$719.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $137.40 / $333.87	Facility		$137.40	$137.40	$333.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $231.61 / $300.76 / $533.76	Professional		$231.61	$300.76	$533.76