Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $2,626.00 / $7,434.00	Facility		$130.19	$2,626.00	$7,434.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $190.21 / $391.72	Professional		$88.69	$190.21	$391.72
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 $140.15 / $194.38 / $454.95	Professional		$140.15	$194.38	$454.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.33 / $1,254.00 / $4,050.00	Facility		$133.33	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $133.33 / $330.04	Professional		$133.33	$133.33	$330.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $160.15	Facility		$160.15	$160.15	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $239.16 / $622.85	Professional		$97.16	$239.16	$622.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.75 / $332.00	Facility		$75.00	$129.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.87 / $337.08 / $494.97	Professional		$240.87	$337.08	$494.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.85 / $206.85 / $206.85	Facility		$206.85	$206.85	$206.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $225.27 / $481.37	Professional		$181.38	$225.27	$481.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,195.18 / $3,195.18 / $3,544.79	Facility		$3,195.18	$3,195.18	$3,544.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $555.00 / $597.00	Facility		$160.15	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $267.93 / $655.95	Professional		$110.00	$267.93	$655.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,447.00 / $5,963.00	Facility		$1,348.00	$3,447.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.94 / $282.88 / $712.31	Professional		$179.94	$282.88	$712.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.09 / $110.09 / $418.17	Facility		$110.09	$110.09	$418.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $265.02 / $481.37	Professional		$182.85	$265.02	$481.37