Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $2,313.19 / $7,095.00	Facility		$139.37	$2,313.19	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $145.46 / $365.35	Professional		$101.51	$145.46	$365.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $138.31 / $319.56	Professional		$108.19	$138.31	$319.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $166.62 / $4,050.00	Facility		$166.62	$166.62	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.62 / $166.62 / $242.54	Professional		$166.62	$166.62	$242.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $199.93 / $14,648.00	Facility		$199.93	$199.93	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $199.91 / $428.89	Professional		$113.65	$199.91	$428.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $153.75 / $332.00	Facility		$75.00	$153.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $229.68 / $482.89	Professional		$198.15	$229.68	$482.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $157.38 / $314.41	Professional		$138.47	$157.38	$314.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.54 / $2,724.87 / $7,950.59	Facility		$509.54	$2,724.87	$7,950.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $168.58 / $168.58	Professional		$168.58	$168.58	$168.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $555.00 / $74,999.25	Facility		$199.93	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $212.41 / $493.35	Professional		$117.72	$212.41	$493.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $193.23 / $428.22	Professional		$104.94	$193.23	$428.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.76 / $127.76 / $409.08	Facility		$127.76	$127.76	$409.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $168.13 / $376.34	Professional		$138.47	$168.13	$376.34