Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $2,399.50 / $7,735.00	Facility		$116.97	$2,399.50	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $116.08 / $233.14	Professional		$77.06	$116.08	$233.14
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 $88.86 / $111.92 / $276.19	Professional		$88.86	$111.92	$276.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.05 / $115.05 / $4,050.00	Facility		$115.05	$115.05	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $115.05 / $169.00	Professional		$115.05	$115.05	$169.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $14,648.00	Facility		$138.24	$138.24	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $165.81 / $415.53	Professional		$92.86	$165.81	$415.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.33 / $133.50 / $332.00	Facility		$86.33	$133.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $185.76 / $274.87	Professional		$128.91	$185.76	$274.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $111.41 / $111.41	Facility		$111.41	$111.41	$111.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $139.18 / $252.80	Professional		$97.45	$139.18	$252.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $198.50 / $198.50	Facility		$198.50	$198.50	$198.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $555.00 / $36,596.00	Facility		$138.24	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $168.07 / $420.18	Professional		$92.60	$168.07	$420.18
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $161.44 / $354.37	Professional		$105.60	$161.44	$354.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $93.16 / $221.84	Facility		$93.16	$93.16	$221.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $149.04 / $252.80	Professional		$107.39	$149.04	$252.80