Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $1,836.30 / $7,095.00	Facility		$89.51	$1,836.30	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $117.51 / $255.71	Professional		$60.44	$117.51	$255.71
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 $75.02 / $96.77 / $287.02	Professional		$75.02	$96.77	$287.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.48 / $145.16 / $431.74	Professional	50	$114.48	$145.16	$431.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $1,254.00 / $4,050.00	Facility		$89.77	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $89.77 / $161.87	Professional		$89.77	$89.77	$161.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $119.82	Facility		$119.82	$119.82	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $140.12 / $382.00	Professional		$72.39	$140.12	$382.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $112.50 / $332.00	Facility		$75.00	$112.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $208.39 / $420.64	Professional		$144.44	$208.39	$420.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $124.04 / $124.04	Facility		$124.04	$124.04	$124.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $154.72 / $283.56	Professional		$109.31	$154.72	$283.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.73 / $720.73 / $3,544.79	Facility		$720.73	$720.73	$3,544.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $555.00 / $597.00	Facility		$119.82	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $153.25 / $388.04	Professional		$76.70	$153.25	$388.04
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 $100.67 / $162.51 / $378.40	Professional		$100.67	$162.51	$378.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $365.79	Facility		$80.95	$80.95	$365.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $163.44 / $283.56	Professional		$124.04	$163.44	$283.56