Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $2,626.00 / $7,735.00	Facility		$98.37	$2,626.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $140.19 / $278.44	Professional		$71.26	$140.19	$278.44
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 $104.11 / $143.99 / $326.49	Professional		$104.11	$143.99	$326.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $98.73 / $4,050.00	Facility		$98.73	$98.73	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $98.73 / $199.94	Professional		$98.73	$98.73	$199.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $14,648.00	Facility		$104.48	$104.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $165.86 / $412.15	Professional		$77.95	$165.86	$412.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $101.97 / $332.00	Facility		$70.02	$101.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $197.28 / $399.21	Professional		$136.75	$197.28	$399.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $117.43 / $117.43	Facility		$117.43	$117.43	$117.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $160.16 / $290.89	Professional		$117.43	$160.16	$290.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.78 / $1,092.78 / $2,213.94	Facility		$1,092.78	$1,092.78	$2,213.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $555.00 / $597.00	Facility		$104.48	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $182.60 / $441.05	Professional		$83.05	$182.60	$441.05
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 $121.69 / $181.06 / $425.17	Professional		$121.69	$181.06	$425.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $80.01 / $211.66	Facility		$80.01	$80.01	$211.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $163.65 / $290.89	Professional		$117.43	$163.65	$290.89