Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.19 / $3,316.00 / $7,969.00	Facility		$269.19	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $259.10 / $518.40	Professional		$180.24	$259.10	$518.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $272.29 / $588.49	Professional		$196.74	$272.29	$588.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.43 / $293.43 / $6,213.00	Facility		$293.43	$293.43	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $293.43 / $421.86	Professional		$293.43	$293.43	$421.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.47 / $352.47 / $14,648.00	Facility		$352.47	$352.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $327.08 / $734.96	Professional		$176.72	$327.08	$734.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $282.00 / $540.36	Facility		$191.00	$282.00	$540.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.52 / $400.49 / $841.50	Professional		$345.52	$400.49	$841.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.25 / $275.22 / $547.84	Professional		$225.25	$275.22	$547.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,240.58 / $5,240.58 / $5,240.58	Facility		$5,240.58	$5,240.58	$5,240.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $358.10 / $404.50	Professional		$354.20	$358.10	$404.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $352.47 / $555.00 / $74,999.25	Facility		$352.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.85 / $371.25 / $821.57	Professional		$206.85	$371.25	$821.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $3,146.00 / $5,254.00	Facility		$1,657.00	$3,146.00	$5,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $344.03 / $741.53	Professional		$195.03	$344.03	$741.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.07 / $224.07 / $603.80	Facility		$224.07	$224.07	$603.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $318.29 / $660.02	Professional		$224.07	$318.29	$660.02