Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,090.30 / $9,120.11	Facility		$288.40	$3,090.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $794.33	Professional		$181.97	$295.12	$794.33
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 $239.88 / $309.03 / $691.83	Professional		$239.88	$309.03	$691.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,698.24 / $6,165.95	Facility		$295.12	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $446.68	Professional		$295.12	$295.12	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,659.59 / $50,118.72	Facility		$354.81	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $776.25	Professional		$186.21	$338.84	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $691.83	Facility		$173.78	$223.87	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $707.95	Professional		$363.08	$436.52	$707.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $575.44	Professional		$234.42	$331.13	$575.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $5,128.61	Facility		$741.31	$1,862.09	$5,128.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $562.34	Professional		$316.23	$371.54	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $50,118.72 / $75,857.76	Facility		$199.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $467.74	Professional		$363.08	$398.11	$467.74
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 $141.25 / $269.15 / $575.44	Professional		$141.25	$269.15	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $562.34	Facility		$173.78	$229.09	$562.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $724.44	Professional		$234.42	$363.08	$724.44