Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $2,660.00 / $11,550.00	Facility		$164.80	$2,660.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $155.68 / $367.55	Professional		$106.99	$155.68	$367.55
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 $118.52 / $150.01 / $362.52	Professional		$118.52	$150.01	$362.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $161.54 / $161.54 / $4,050.00	Facility		$161.54	$161.54	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $161.54 / $220.27	Professional		$161.54	$161.54	$220.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $14,648.00	Facility		$197.98	$197.98	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $222.27 / $576.01	Professional		$129.37	$222.27	$576.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $182.35 / $332.00	Facility		$125.07	$182.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $251.28 / $373.36	Professional		$174.08	$251.28	$373.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.57 / $149.57 / $149.57	Facility		$149.57	$149.57	$149.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $158.25 / $338.16	Professional		$129.77	$158.25	$338.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $360.95 / $940.91	Facility		$198.50	$360.95	$940.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.82 / $371.82 / $371.82	Professional		$371.82	$371.82	$371.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $555.00 / $36,596.00	Facility		$197.98	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $223.49 / $576.01	Professional		$123.79	$223.49	$576.01
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 $139.24 / $207.77 / $455.22	Professional		$139.24	$207.77	$455.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $133.25 / $312.57	Facility		$133.25	$133.25	$312.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $199.37 / $338.16	Professional		$143.52	$199.37	$338.16