Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $793.00 / $7,028.00	Facility		$43.58	$793.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $69.62 / $172.46	Professional		$22.14	$69.62	$172.46
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 $29.39 / $99.78 / $183.92	Professional		$29.39	$99.78	$183.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $50.88 / $815.00	Facility		$50.88	$50.88	$815.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $50.88 / $141.60	Professional		$50.88	$50.88	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Facility		$57.59	$57.59	$57.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $72.51 / $187.91	Professional		$26.06	$72.51	$187.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $59.67 / $332.00	Facility		$40.85	$59.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $134.82 / $274.38	Professional		$116.31	$134.82	$274.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $124.22 / $212.99	Professional		$70.20	$124.22	$212.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $293.82 / $1,389.18	Facility		$54.82	$293.82	$1,389.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Professional		$92.98	$92.98	$92.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $555.00 / $74,999.25	Facility		$57.59	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $100.25 / $215.94	Professional		$31.83	$100.25	$215.94
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $96.79 / $179.78	Professional		$61.88	$96.79	$179.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $175.48	Facility		$38.79	$38.79	$175.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $124.77 / $238.10	Professional		$67.50	$124.77	$238.10