Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $2,736.00 / $7,735.00	Facility		$76.50	$2,736.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $110.65 / $214.97	Professional		$57.05	$110.65	$214.97
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 $84.51 / $118.65 / $273.01	Professional		$84.51	$118.65	$273.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $79.56 / $4,050.00	Facility		$79.56	$79.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $162.16	Professional		$79.56	$79.56	$162.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $14,648.00	Facility		$89.90	$89.90	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $135.90 / $349.03	Professional		$62.15	$135.90	$349.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.60 / $332.00	Facility		$60.26	$87.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $170.27 / $343.61	Professional		$118.02	$170.27	$343.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.35 / $101.35 / $101.35	Facility		$101.35	$101.35	$101.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $122.56 / $235.66	Professional		$97.96	$122.56	$235.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.40 / $736.32 / $1,427.63	Facility		$722.40	$736.32	$1,427.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $555.00 / $597.00	Facility		$89.90	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $143.78 / $361.86	Professional		$67.98	$143.78	$361.86
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 $101.14 / $155.34 / $352.32	Professional		$101.14	$155.34	$352.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $64.16 / $168.67	Facility		$64.16	$64.16	$168.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $135.83 / $235.66	Professional		$101.35	$135.83	$235.66