Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $147.97 / $2,255.00	Facility		$34.79	$147.97	$2,255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $73.68 / $137.59	Professional		$28.68	$73.68	$137.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,751.00 / $4,671.00	Facility		$790.00	$1,751.00	$4,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $147.88 / $189.96	Professional		$63.33	$147.88	$189.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Facility		$40.86	$40.86	$40.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $120.60	Professional		$40.86	$40.86	$120.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $1,314.61	Facility		$46.38	$46.38	$1,314.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $94.40 / $235.57	Professional		$32.75	$94.40	$235.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $75.00 / $332.00	Facility		$35.17	$75.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $114.57 / $165.60	Professional		$87.16	$114.57	$165.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $107.39 / $194.69	Professional		$71.02	$107.39	$194.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.19 / $1,050.54 / $1,147.83	Facility		$472.19	$1,050.54	$1,147.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $1,314.61	Facility		$46.38	$46.38	$1,314.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $103.36 / $220.49	Professional		$35.32	$103.36	$220.49
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $100.48 / $193.40	Professional		$73.20	$100.48	$193.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $95.48 / $95.48	Facility		$94.40	$95.48	$95.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $95.48 / $194.69	Professional		$81.16	$95.48	$194.69