Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $2,920.00 / $8,134.00	Facility		$182.03	$2,920.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $177.38 / $281.52	Professional		$130.38	$177.38	$281.52
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 $123.75 / $161.13 / $362.19	Professional		$123.75	$161.13	$362.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $185.63 / $242.65 / $551.37	Professional	50	$185.63	$242.65	$551.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.09 / $209.09 / $4,050.00	Facility		$209.09	$209.09	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $209.09 / $221.50	Professional		$209.09	$209.09	$221.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $120.35 / $248.01	Facility		$120.35	$120.35	$248.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $197.48 / $483.04	Professional		$123.76	$197.48	$483.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.38 / $380.97	Facility		$75.00	$181.38	$380.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $213.43 / $332.78	Professional		$174.76	$213.43	$332.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $147.19 / $290.20	Professional		$81.86	$147.19	$290.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $191.76 / $191.76	Professional		$191.76	$191.76	$191.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $555.00 / $74,999.25	Facility		$120.35	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $200.85 / $494.52	Professional		$127.91	$200.85	$494.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $179.69 / $425.02	Professional		$136.82	$179.69	$425.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $202.79 / $460.76	Facility		$202.79	$202.79	$460.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $202.79 / $392.28	Professional		$81.86	$202.79	$392.28