Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $1,982.11 / $9,661.00	Facility		$53.38	$1,982.11	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $58.52 / $139.77	Professional		$39.18	$58.52	$139.77
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 $53.35 / $66.26 / $140.21	Professional		$53.35	$66.26	$140.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $4,050.00	Facility		$58.46	$58.46	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $85.19	Professional		$58.46	$58.46	$85.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $14,648.00	Facility		$69.06	$69.06	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $68.33 / $163.44	Professional		$36.70	$68.33	$163.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $100.00 / $332.00	Facility		$48.04	$100.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $81.45 / $127.60	Professional		$67.20	$81.45	$127.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $56.17 / $111.63	Professional		$30.98	$56.17	$111.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.63 / $321.63 / $321.63	Facility		$321.63	$321.63	$321.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $74.17 / $74.56	Professional		$70.25	$74.17	$74.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $555.00 / $74,999.25	Facility		$69.06	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $74.06 / $173.30	Professional		$46.73	$74.06	$173.30
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $68.06 / $152.19	Professional		$51.73	$68.06	$152.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $56.01 / $135.04	Facility		$56.01	$56.01	$135.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $61.83 / $128.00	Professional		$30.98	$61.83	$128.00