Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,090.30 / $7,762.47	Facility		$114.82	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $398.11	Professional		$70.79	$138.04	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $275.42	Professional		$87.10	$114.82	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $6,165.95	Facility		$114.82	$114.82	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $181.97	Professional		$114.82	$114.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $53,703.18	Facility		$138.04	$138.04	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $316.23	Professional		$77.62	$141.25	$316.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $269.15	Facility		$67.61	$95.50	$269.15
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 / $234.42	Professional		$95.50	$138.04	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,148.15 / $6,760.83	Facility		$147.91	$1,148.15	$6,760.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$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 $1,621.81 / $3,467.37 / $6,165.95	Facility		$1,621.81	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $229.09	Professional		$54.95	$104.71	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $275.42	Facility		$67.61	$89.13	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $269.15	Professional		$95.50	$147.91	$269.15