Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $3,103.00 / $8,442.00	Facility		$257.58	$3,103.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $250.56 / $511.32	Professional		$189.19	$250.56	$511.32
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 $185.07 / $229.83 / $530.01	Professional		$185.07	$229.83	$530.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $270.04 / $1,716.00 / $6,213.00	Facility		$270.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $270.04 / $359.80	Professional		$270.04	$270.04	$359.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $327.19	Facility		$327.19	$327.19	$327.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $335.33 / $907.41	Professional		$201.92	$335.33	$907.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $234.23 / $504.20	Facility		$75.00	$234.23	$504.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $278.81 / $391.85 / $577.07	Professional		$278.81	$391.85	$577.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.42 / $239.42 / $239.42	Facility		$239.42	$239.42	$239.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $297.58 / $540.51	Professional		$198.70	$297.58	$540.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.43 / $908.43 / $908.43	Facility		$908.43	$908.43	$908.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $555.00 / $36,596.00	Facility		$327.19	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $345.01 / $916.49	Professional		$217.20	$345.01	$916.49
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 $215.63 / $335.43 / $833.99	Professional		$215.63	$335.43	$833.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $222.03 / $222.03 / $827.86	Facility		$222.03	$222.03	$827.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $328.30 / $540.51	Professional		$207.43	$328.30	$540.51