Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $700.00 / $2,276.00	Facility		$191.87	$700.00	$2,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $203.14 / $311.08	Professional		$150.41	$203.14	$311.08
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 $227.21 / $327.72 / $424.04	Professional		$227.21	$327.72	$424.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.08 / $263.08 / $263.08	Facility		$263.08	$263.08	$263.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $263.08 / $263.08	Professional		$263.08	$263.08	$263.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $1,971.95	Facility		$188.27	$188.27	$1,971.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $282.77 / $640.73	Professional		$184.45	$282.77	$640.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $242.42 / $487.20	Facility		$117.00	$242.42	$487.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $229.20 / $326.64	Professional		$169.08	$229.20	$326.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $207.16 / $390.30	Professional		$141.38	$207.16	$390.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.54 / $1,050.54 / $1,050.54	Facility		$1,050.54	$1,050.54	$1,050.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $1,971.95	Facility		$188.27	$188.27	$1,971.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $263.75 / $550.05	Professional		$178.11	$263.75	$550.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $215.89 / $430.99	Professional		$147.25	$215.89	$430.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.31 / $186.31 / $188.21	Facility		$186.31	$186.31	$188.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $186.31 / $390.30	Professional		$153.50	$186.31	$390.30