Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $2,626.00 / $7,343.00	Facility		$59.84	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $83.01 / $174.20	Professional		$37.85	$83.01	$174.20
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 $58.38 / $74.72 / $194.10	Professional		$58.38	$74.72	$194.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $4,050.00	Facility		$57.28	$57.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $57.28 / $125.07	Professional		$57.28	$57.28	$125.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $101.28 / $276.97	Professional		$45.04	$101.28	$276.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $67.97 / $332.00	Facility		$42.92	$67.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $133.38 / $196.45	Professional		$93.36	$133.38	$196.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $81.05	Facility		$81.05	$81.05	$81.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $111.13 / $186.69	Professional		$52.04	$111.13	$186.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.36 / $153.36 / $153.36	Facility		$153.36	$153.36	$153.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $555.00 / $597.00	Facility		$69.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $110.05 / $277.93	Professional		$50.48	$110.05	$277.93
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 $68.20 / $109.38 / $277.12	Professional		$68.20	$109.38	$277.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $189.28	Facility		$47.18	$47.18	$189.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $107.61 / $186.69	Professional		$52.04	$107.61	$186.69