Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.62 / $2,902.00 / $10,965.00	Facility		$168.62	$2,902.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $163.63 / $383.69	Professional		$107.49	$163.63	$383.69
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 $156.37 / $195.47 / $398.52	Professional		$156.37	$195.47	$398.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $164.38 / $4,050.00	Facility		$164.38	$164.38	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $164.38 / $247.46	Professional		$164.38	$164.38	$247.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $14,648.00	Facility		$196.86	$196.86	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $235.15 / $611.78	Professional		$133.10	$235.15	$611.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $180.00 / $332.00	Facility		$123.79	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $273.95 / $404.70	Professional		$190.69	$273.95	$404.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $165.04 / $165.04	Facility		$165.04	$165.04	$165.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.09 / $205.80 / $373.80	Professional		$144.09	$205.80	$373.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $910.62 / $2,767.66	Facility		$198.50	$910.62	$2,767.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.03 / $416.03 / $416.03	Professional		$416.03	$416.03	$416.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $555.00 / $36,596.00	Facility		$196.86	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $239.31 / $620.40	Professional		$132.40	$239.31	$620.40
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 $158.83 / $231.29 / $528.72	Professional		$158.83	$231.29	$528.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $315.56	Facility		$133.69	$133.69	$315.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $220.38 / $373.80	Professional		$152.32	$220.38	$373.80