Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $811.00 / $2,276.00	Facility		$86.38	$811.00	$2,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $87.50 / $127.06	Professional		$65.22	$87.50	$127.06
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 $98.15 / $141.33 / $182.88	Professional		$98.15	$141.33	$182.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.03 / $113.03 / $113.03	Facility		$113.03	$113.03	$113.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $113.03 / $113.03	Professional		$113.03	$113.03	$113.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $855.17	Facility		$81.28	$81.28	$855.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $122.46 / $276.69	Professional		$80.11	$122.46	$276.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $104.84 / $332.00	Facility		$39.00	$104.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $98.25 / $140.49	Professional		$72.48	$98.25	$140.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $89.59 / $168.84	Professional		$60.56	$89.59	$168.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $82.15 / $93.93	Professional		$82.15	$82.15	$93.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $855.17	Facility		$81.28	$81.28	$855.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $112.96 / $239.59	Professional		$77.06	$112.96	$239.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $92.25 / $196.55	Professional		$60.36	$92.25	$196.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $80.34 / $85.85	Facility		$80.34	$80.34	$85.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $80.34 / $168.84	Professional		$65.76	$80.34	$168.84