Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $3,060.00 / $9,661.00	Facility		$74.11	$3,060.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $101.73 / $208.76	Professional		$42.11	$101.73	$208.76
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 $69.59 / $98.63 / $271.39	Professional		$69.59	$98.63	$271.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $1,254.00 / $6,213.00	Facility		$65.94	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $139.47	Professional		$65.94	$65.94	$139.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $14,648.00	Facility		$78.31	$78.31	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $131.00 / $357.08	Professional		$52.65	$131.00	$357.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $73.50 / $332.00	Facility		$47.79	$73.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $142.32 / $239.22	Professional		$99.21	$142.32	$239.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $85.20 / $85.20	Facility		$85.20	$85.20	$85.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $116.82 / $194.73	Professional		$77.44	$116.82	$194.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.79 / $885.90 / $1,010.49	Facility		$417.79	$885.90	$1,010.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $555.00 / $37,776.00	Facility		$78.31	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $133.99 / $352.45	Professional		$56.79	$133.99	$352.45
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 $88.09 / $139.91 / $334.44	Professional		$88.09	$139.91	$334.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $53.13 / $151.25	Facility		$53.13	$53.13	$151.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $115.65 / $194.73	Professional		$80.37	$115.65	$194.73