Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $2,592.75 / $9,038.00	Facility		$119.08	$2,592.75	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $214.23 / $417.91	Professional		$82.77	$214.23	$417.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $247.68 / $512.71	Professional		$86.76	$247.68	$512.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $124.74 / $4,050.00	Facility		$124.74	$124.74	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $124.74 / $367.76	Professional		$124.74	$124.74	$367.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $262.41 / $790.56	Professional		$91.43	$262.41	$790.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $138.66 / $350.82	Facility		$86.41	$138.66	$350.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $305.93 / $441.12	Professional		$232.17	$305.93	$441.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $278.49 / $526.03	Professional		$203.10	$278.49	$526.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $1,269.02 / $3,435.00	Facility		$721.90	$1,269.02	$3,435.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $206.27 / $206.27	Professional		$206.27	$206.27	$206.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $597.00	Facility		$145.07	$145.07	$597.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $306.08 / $796.21	Professional		$110.35	$306.08	$796.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $346.62 / $826.65	Professional		$227.00	$346.62	$826.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $98.72 / $159.44	Facility		$98.72	$98.72	$159.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $268.58 / $466.29	Professional		$203.10	$268.58	$466.29