Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.04 / $3,000.00 / $7,185.00	Facility		$140.04	$3,000.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $131.15 / $302.57	Professional		$90.40	$131.15	$302.57
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 $110.83 / $140.53 / $294.89	Professional		$110.83	$140.53	$294.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.86 / $1,254.00 / $4,050.00	Facility		$143.86	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $143.86 / $181.10	Professional		$143.86	$143.86	$181.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $170.31	Facility		$105.08	$105.08	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $152.51 / $348.70	Professional		$88.74	$152.51	$348.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $133.25 / $332.00	Facility		$65.00	$133.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $174.41 / $272.70	Professional		$143.26	$174.41	$272.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $120.28 / $237.56	Professional		$66.76	$120.28	$237.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $1,012.08	Facility		$50.00	$50.00	$1,012.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $150.03 / $158.50	Professional		$124.53	$150.03	$158.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $555.00 / $74,999.25	Facility		$105.08	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $157.00 / $348.70	Professional		$102.38	$157.00	$348.70
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 $110.04 / $141.82 / $290.35	Professional		$110.04	$141.82	$290.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $321.38	Facility		$138.74	$138.74	$321.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $138.74 / $286.36	Professional		$66.76	$138.74	$286.36