Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $3,111.00 / $7,563.00	Facility		$121.87	$3,111.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $123.54 / $318.76	Professional		$88.59	$123.54	$318.76
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 $96.13 / $122.09 / $275.52	Professional		$96.13	$122.09	$275.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $6,213.00	Facility		$145.91	$145.91	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $145.91 / $203.68	Professional		$145.91	$145.91	$203.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $178.11 / $178.11	Facility		$178.11	$178.11	$178.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $164.45 / $353.80	Professional		$84.25	$164.45	$353.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $145.32 / $332.00	Facility		$82.00	$145.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $115.63 / $283.58	Professional		$30.00	$115.63	$283.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $131.97 / $265.89	Professional		$105.55	$131.97	$265.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.56 / $519.12 / $2,601.57	Facility		$252.56	$519.12	$2,601.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $166.13 / $166.13	Professional		$166.13	$166.13	$166.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $555.00 / $74,999.25	Facility		$178.11	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $173.75 / $397.52	Professional		$95.00	$173.75	$397.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $157.68 / $347.82	Professional		$92.67	$157.68	$347.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $115.88 / $333.32	Facility		$115.88	$115.88	$333.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $154.49 / $338.92	Professional		$105.55	$154.49	$338.92