Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.05 / $2,900.00 / $7,839.00	Facility		$138.05	$2,900.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $131.19 / $227.18	Professional		$95.95	$131.19	$227.18
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 $103.81 / $131.63 / $278.26	Professional		$103.81	$131.63	$278.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $155.72 / $197.45 / $420.52	Professional	50	$155.72	$197.45	$420.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $6,213.00	Facility		$154.96	$154.96	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $154.96 / $170.72	Professional		$154.96	$154.96	$170.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $181.81	Facility		$94.31	$94.31	$181.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $147.94 / $370.77	Professional		$92.16	$147.94	$370.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $133.03 / $332.00	Facility		$35.00	$133.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $163.50 / $254.56	Professional		$133.47	$163.50	$254.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $112.76 / $223.76	Professional		$62.11	$112.76	$223.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $147.79 / $149.41	Professional		$140.36	$147.79	$149.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $555.00 / $74,999.25	Facility		$94.31	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $151.69 / $381.60	Professional		$97.55	$151.69	$381.60
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 $102.76 / $136.79 / $316.83	Professional		$102.76	$136.79	$316.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $149.63 / $340.15	Facility		$149.63	$149.63	$340.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $143.77 / $302.35	Professional		$62.11	$143.77	$302.35