Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.83 / $2,900.00 / $7,343.00	Facility		$128.83	$2,900.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $150.38 / $269.99	Professional		$64.19	$150.38	$269.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $142.47 / $353.22	Professional		$74.13	$142.47	$353.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $102.20 / $102.20	Facility		$102.20	$102.20	$102.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $102.20 / $250.69	Professional		$102.20	$102.20	$250.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $203.39 / $269.56	Facility		$92.23	$203.39	$269.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $146.47 / $349.35	Professional		$64.81	$146.47	$349.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $89.10 / $332.00	Facility		$54.00	$89.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $206.93 / $415.58	Professional		$176.19	$206.93	$415.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $160.62 / $313.13	Professional		$134.72	$160.62	$313.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $146.94 / $179.84	Professional		$121.08	$146.94	$179.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $141.46 / $180.13	Professional		$139.91	$141.46	$180.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $245.05 / $597.00	Facility		$92.23	$245.05	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $202.40 / $404.34	Professional		$81.83	$202.40	$404.34
United Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $197.27 / $523.24	Professional		$142.94	$197.27	$523.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $77.50 / $246.60	Facility		$77.50	$77.50	$246.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $183.51 / $360.55	Professional		$134.72	$183.51	$360.55