Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $3,347.00 / $8,442.00	Facility		$174.08	$3,347.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $171.93 / $350.46	Professional		$109.51	$171.93	$350.46
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 $133.13 / $184.98 / $400.40	Professional		$133.13	$184.98	$400.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $176.85 / $6,213.00	Facility		$176.85	$176.85	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $176.85 / $291.44	Professional		$176.85	$176.85	$291.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $212.59 / $212.59	Facility		$212.59	$212.59	$212.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $208.23 / $469.80	Professional		$109.40	$208.23	$469.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $183.06 / $332.00	Facility		$111.00	$183.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $275.07 / $577.80	Professional		$237.31	$275.07	$577.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $188.22 / $376.28	Professional		$150.52	$188.22	$376.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.43 / $987.43 / $987.43	Facility		$987.43	$987.43	$987.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $555.00 / $74,999.25	Facility		$212.59	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $247.50 / $515.64	Professional		$129.41	$247.50	$515.64
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 $135.69 / $233.93 / $512.19	Professional		$135.69	$233.93	$512.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $351.61	Facility		$136.44	$136.44	$351.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $218.62 / $429.90	Professional		$150.52	$218.62	$429.90