Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,951.21 / $7,762.47	Facility		$218.78	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $588.84	Professional		$125.89	$208.93	$588.84
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 $177.83 / $229.09 / $501.19	Professional		$177.83	$229.09	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $6,165.95	Facility		$208.93	$208.93	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Professional		$208.93	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,318.26 / $50,118.72	Facility		$251.19	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $549.54	Professional		$131.83	$245.47	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $489.78	Facility		$134.90	$162.18	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $416.87	Professional		$134.90	$208.93	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $426.58	Professional		$169.82	$245.47	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $302.00	Professional		$257.04	$257.04	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $50,118.72 / $75,857.76	Facility		$141.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $398.11	Professional		$269.15	$338.84	$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 $97.72 / $186.21 / $416.87	Professional		$97.72	$186.21	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $436.52	Facility		$120.23	$158.49	$436.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $478.63	Professional		$169.82	$263.03	$478.63