Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $111.55 / $318.36	Facility		$40.95	$111.55	$318.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $89.97 / $188.06	Professional		$33.59	$89.97	$188.06
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 $60.64 / $112.87 / $260.44	Professional		$60.64	$112.87	$260.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $1,254.00 / $6,213.00	Facility		$50.25	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $136.66	Professional		$50.25	$50.25	$136.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $14,648.00	Facility		$58.82	$58.82	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $116.10 / $348.90	Professional		$40.36	$116.10	$348.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $55.50 / $332.00	Facility		$35.92	$55.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $142.22 / $222.68	Professional		$106.80	$142.22	$222.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $84.72 / $84.72	Facility		$84.72	$84.72	$84.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $116.17 / $194.18	Professional		$77.22	$116.17	$194.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $1,124.00 / $1,124.00	Facility		$1,124.00	$1,124.00	$1,124.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $555.00 / $37,776.00	Facility		$58.82	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $121.73 / $348.35	Professional		$44.16	$121.73	$348.35
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $134.46 / $304.63	Professional		$88.67	$134.46	$304.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $114.91	Facility		$40.56	$40.56	$114.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $111.97 / $194.18	Professional		$84.72	$111.97	$194.18