Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $468.00 / $892.50	Facility		$210.00	$468.00	$892.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $234.00 / $450.00	Professional		$174.64	$234.00	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $780.00	Facility		$300.00	$300.00	$780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $185.84 / $679.50	Professional		$120.00	$185.84	$679.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $300.00 / $300.00	Facility		$180.00	$300.00	$300.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $300.00 / $300.00	Professional		$219.00	$300.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $633.75 / $801.03	Facility		$367.00	$633.75	$801.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $425.27 / $968.88	Professional		$182.95	$425.27	$968.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $300.00 / $675.00	Facility		$76.00	$300.00	$675.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $312.99 / $549.00	Professional		$210.00	$312.99	$549.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $199.69	Facility		$199.69	$199.69	$199.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $285.00 / $535.07	Professional		$199.69	$285.00	$535.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.73 / $1,022.73 / $1,022.73	Facility		$1,022.73	$1,022.73	$1,022.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $633.75 / $801.03	Facility		$254.50	$633.75	$801.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $420.72 / $900.00	Professional		$189.97	$420.72	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $492.42	Professional		$126.00	$180.00	$492.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $370.43	Facility		$318.00	$318.00	$370.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $300.00 / $370.43	Professional		$255.00	$300.00	$370.43