Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.39 / $2,900.00 / $7,307.00	Facility		$172.39	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $158.44 / $272.89	Professional		$117.37	$158.44	$272.89
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 $132.02 / $167.40 / $381.00	Professional		$132.02	$167.40	$381.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.68 / $1,254.00 / $4,050.00	Facility		$184.68	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $184.68 / $229.56	Professional		$184.68	$184.68	$229.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.18 / $126.18 / $218.94	Facility		$126.18	$126.18	$218.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $192.14 / $453.67	Professional		$116.21	$192.14	$453.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $171.30 / $332.00	Facility		$95.00	$171.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $223.24 / $343.44	Professional		$180.35	$223.24	$343.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $151.83 / $300.60	Professional		$85.28	$151.83	$300.60
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $199.54 / $199.54	Professional		$199.54	$199.54	$199.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $198.75 / $198.75	Professional		$160.32	$198.75	$198.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.18 / $555.00 / $74,999.25	Facility		$126.18	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $200.12 / $499.95	Professional		$130.61	$200.12	$499.95
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 $141.41 / $185.79 / $399.90	Professional		$141.41	$185.79	$399.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $178.14 / $417.91	Facility		$178.14	$178.14	$417.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $178.14 / $370.48	Professional		$85.28	$178.14	$370.48