Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,951.21 / $7,413.10	Facility		$117.49	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $389.05	Professional		$70.79	$134.90	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $281.84	Professional		$89.13	$114.82	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $4,073.80	Facility		$117.49	$117.49	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $181.97	Professional		$117.49	$117.49	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $53,703.18	Facility		$141.25	$141.25	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $323.59	Professional		$75.86	$141.25	$323.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $245.47	Facility		$60.26	$93.33	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $229.09	Professional		$61.66	$120.23	$229.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $891.25 / $2,089.30	Facility		$257.04	$891.25	$2,089.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $165.96	Professional		$128.82	$151.36	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $398.11	Professional		$147.91	$186.21	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $234.42	Professional		$54.95	$104.71	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $245.47	Facility		$69.18	$91.20	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $269.15	Professional		$95.50	$147.91	$269.15