Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $2,465.00 / $7,095.00	Facility		$100.80	$2,465.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $132.06 / $257.35	Professional		$68.45	$132.06	$257.35
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 $98.89 / $125.59 / $305.83	Professional		$98.89	$125.59	$305.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.13 / $188.39 / $465.55	Professional	50	$149.13	$188.39	$465.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $1,254.00 / $4,050.00	Facility		$108.85	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $209.12	Professional		$108.85	$108.85	$209.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $170.38 / $441.61	Professional		$77.02	$170.38	$441.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $117.93 / $332.00	Facility		$75.00	$117.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $217.15 / $318.68	Professional		$155.79	$217.15	$318.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.78 / $133.78 / $133.78	Facility		$133.78	$133.78	$133.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $170.20 / $309.14	Professional		$119.17	$170.20	$309.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.21 / $1,059.21 / $1,059.21	Facility		$1,059.21	$1,059.21	$1,059.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $555.00 / $597.00	Facility		$128.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $181.84 / $443.43	Professional		$88.64	$181.84	$443.43
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 $125.03 / $190.44 / $434.03	Professional		$125.03	$190.44	$434.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $89.67 / $323.35	Facility		$89.67	$89.67	$323.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $183.44 / $309.14	Professional		$133.78	$183.44	$309.14