Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.35 / $3,347.00 / $9,038.00	Facility		$242.35	$3,347.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $233.51 / $455.13	Professional		$153.34	$233.51	$455.13
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 $180.54 / $249.86 / $532.27	Professional		$180.54	$249.86	$532.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $254.36 / $254.36 / $6,213.00	Facility		$254.36	$254.36	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $254.36 / $382.32	Professional		$254.36	$254.36	$382.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.92 / $305.92 / $305.92	Facility		$305.92	$305.92	$305.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $296.70 / $623.90	Professional		$160.52	$296.70	$623.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $271.52 / $469.94	Facility		$193.00	$271.52	$469.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $231.25 / $533.91	Professional		$150.00	$231.25	$533.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $249.12 / $496.47	Professional		$210.43	$249.12	$496.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.34 / $1,202.17 / $2,265.17	Facility		$944.34	$1,202.17	$2,265.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.12 / $272.16 / $351.33	Professional		$249.12	$272.16	$351.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.92 / $555.00 / $74,999.25	Facility		$305.92	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $334.83 / $690.64	Professional		$186.37	$334.83	$690.64
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 $180.18 / $318.62 / $688.08	Professional		$180.18	$318.62	$688.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $195.29 / $617.13	Facility		$195.29	$195.29	$617.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $288.45 / $575.23	Professional		$195.29	$288.45	$575.23