Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.42 / $3,060.00 / $9,038.00	Facility		$197.42	$3,060.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $197.42 / $405.68	Professional		$130.25	$197.42	$405.68
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 $153.02 / $211.77 / $456.89	Professional		$153.02	$211.77	$456.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $208.40 / $6,213.00	Facility		$208.40	$208.40	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $208.40 / $328.24	Professional		$208.40	$208.40	$328.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $251.73 / $251.73	Facility		$251.73	$251.73	$251.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $242.76 / $539.26	Professional		$126.60	$242.76	$539.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $220.32 / $388.28	Facility		$134.00	$220.32	$388.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $194.25 / $457.71	Professional		$90.00	$194.25	$457.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $213.04 / $424.48	Professional		$171.07	$213.04	$424.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.33 / $1,180.33 / $1,180.33	Facility		$1,180.33	$1,180.33	$1,180.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.43 / $271.43 / $271.43	Professional		$271.43	$271.43	$271.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $555.00 / $74,999.25	Facility		$251.73	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $282.08 / $591.91	Professional		$150.32	$282.08	$591.91
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 $146.36 / $259.93 / $575.97	Professional		$146.36	$259.93	$575.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $160.19 / $428.75	Facility		$160.19	$160.19	$428.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $246.62 / $484.97	Professional		$160.19	$246.62	$484.97