Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.51 / $2,237.94 / $9,594.00	Facility		$192.51	$2,237.94	$9,594.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $253.93 / $598.03	Professional		$142.58	$253.93	$598.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $6,758.00 / $35,881.00	Facility		$3,248.00	$6,758.00	$35,881.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.20 / $260.26 / $602.77	Professional		$208.20	$260.26	$602.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $1,254.00 / $4,050.00	Facility		$202.54	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $359.62	Professional		$202.54	$202.54	$359.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $243.12	Facility		$243.12	$243.12	$243.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $308.17 / $816.78	Professional		$162.63	$308.17	$816.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $296.00 / $512.08	Facility		$154.00	$296.00	$512.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $362.48 / $535.99	Professional		$261.14	$362.48	$535.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.85 / $221.85 / $221.85	Facility		$221.85	$221.85	$221.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $305.49 / $510.22	Professional		$202.91	$305.49	$510.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,025.20 / $2,719.18 / $3,847.79	Facility		$2,025.20	$2,719.18	$3,847.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $555.00 / $49,110.00	Facility		$243.12	$555.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $331.45 / $854.55	Professional		$162.63	$331.45	$854.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $330.97 / $773.03	Professional		$218.75	$330.97	$773.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $167.77 / $167.77 / $703.51	Facility		$167.77	$167.77	$703.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $325.56 / $510.22	Professional		$221.85	$325.56	$510.22