Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $2,902.00 / $7,563.00	Facility		$157.46	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $146.51 / $291.54	Professional		$95.81	$146.51	$291.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $183.01 / $389.72	Professional		$147.37	$183.01	$389.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $221.06 / $274.52 / $594.60	Professional	50	$221.06	$274.52	$594.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $1,254.00 / $4,050.00	Facility		$154.69	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $154.69 / $251.62	Professional		$154.69	$154.69	$251.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $1,685.80	Facility		$183.02	$183.02	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $179.64 / $405.39	Professional		$99.31	$179.64	$405.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $180.00 / $332.00	Facility		$113.00	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $235.32 / $370.94	Professional		$194.97	$235.32	$370.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $162.29 / $373.85	Professional		$92.03	$162.29	$373.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.84 / $217.84 / $217.84	Professional		$217.84	$217.84	$217.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $597.00 / $74,999.25	Facility		$183.02	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $211.08 / $429.89	Professional		$105.60	$211.08	$429.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $187.04 / $398.20	Professional		$147.41	$187.04	$398.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $151.15 / $332.58	Facility		$151.15	$151.15	$332.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $204.79 / $445.61	Professional		$92.03	$204.79	$445.61