Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.92 / $3,347.00 / $8,134.00	Facility		$213.92	$3,347.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $204.32 / $418.65	Professional		$135.62	$204.32	$418.65
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 $156.93 / $217.18 / $482.99	Professional		$156.93	$217.18	$482.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $217.10 / $217.10 / $6,213.00	Facility		$217.10	$217.10	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $217.10 / $338.85	Professional		$217.10	$217.10	$338.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $261.81	Facility		$261.81	$261.81	$261.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $257.45 / $544.57	Professional		$138.51	$257.45	$544.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $240.72 / $403.65	Facility		$165.00	$240.72	$403.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $231.25 / $499.48	Professional		$120.00	$231.25	$499.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.02 / $219.87 / $438.66	Professional		$183.02	$219.87	$438.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.20 / $755.40 / $925.19	Facility		$735.20	$755.40	$925.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $281.02 / $281.02	Professional		$281.02	$281.02	$281.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $555.00 / $74,999.25	Facility		$261.81	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $292.31 / $610.66	Professional		$159.30	$292.31	$610.66
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 $151.46 / $269.08 / $573.10	Professional		$151.46	$269.08	$573.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $167.01 / $167.01 / $528.55	Facility		$167.01	$167.01	$528.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.02 / $254.86 / $501.17	Professional		$183.02	$254.86	$501.17