Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.44 / $2,902.00 / $7,563.00	Facility		$208.44	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $199.77 / $371.72	Professional		$121.34	$199.77	$371.72
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 $189.38 / $235.18 / $509.86	Professional		$189.38	$235.18	$509.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $284.07 / $352.77 / $762.31	Professional	50	$284.07	$352.77	$762.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.97 / $182.97 / $4,050.00	Facility		$182.97	$182.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.97 / $182.97 / $313.79	Professional		$182.97	$182.97	$313.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $202.52 / $218.74	Facility		$202.52	$202.52	$218.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $225.35 / $538.82	Professional		$121.21	$225.35	$538.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $159.50 / $335.30	Facility		$65.00	$159.50	$335.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $287.83 / $453.58	Professional		$244.89	$287.83	$453.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $198.51 / $396.49	Professional		$158.81	$198.51	$396.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.95 / $255.95 / $255.95	Professional		$255.95	$255.95	$255.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $555.00 / $74,999.25	Facility		$202.52	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $263.14 / $609.05	Professional		$124.87	$263.14	$609.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,612.00 / $7,203.00	Facility		$1,768.00	$3,612.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $237.41 / $478.05	Professional		$177.41	$237.41	$478.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $178.08 / $416.44	Facility		$178.08	$178.08	$416.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $219.62 / $454.64	Professional		$158.81	$219.62	$454.64