Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.70 / $3,797.00 / $8,679.03	Facility		$354.70	$3,797.00	$8,679.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $342.54 / $684.72	Professional		$248.38	$342.54	$684.72
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 $290.80 / $363.51 / $773.95	Professional		$290.80	$363.51	$773.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $396.04 / $1,716.00 / $6,213.00	Facility		$396.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $396.04 / $396.04 / $553.12	Professional		$396.04	$396.04	$553.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $475.24 / $475.24	Facility		$475.24	$475.24	$475.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $439.55 / $952.41	Professional		$231.01	$439.55	$952.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $332.00 / $729.70	Facility		$293.00	$332.00	$729.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $454.42 / $526.72 / $1,109.75	Professional		$454.42	$526.72	$1,109.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $361.58 / $718.91	Professional		$306.73	$361.58	$718.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.57 / $2,171.57 / $4,835.62	Facility		$2,171.57	$2,171.57	$4,835.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $464.45 / $464.45	Professional		$464.45	$464.45	$464.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $555.00 / $74,999.25	Facility		$475.24	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $489.42 / $1,004.43	Professional		$281.44	$489.42	$1,004.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.23 / $451.98 / $944.48	Professional		$265.23	$451.98	$944.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $301.14 / $301.14 / $939.53	Facility		$301.14	$301.14	$939.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $384.44 / $887.04	Professional		$301.14	$384.44	$887.04