Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $2,419.00 / $7,227.91	Facility		$157.72	$2,419.00	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $174.75 / $339.56	Professional		$102.58	$174.75	$339.56
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 $118.00 / $161.49 / $397.88	Professional		$118.00	$161.49	$397.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $160.05 / $160.05 / $4,050.00	Facility		$160.05	$160.05	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $160.05 / $275.58	Professional		$160.05	$160.05	$275.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $184.57 / $14,648.00	Facility		$184.57	$184.57	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $221.55 / $452.13	Professional		$107.66	$221.55	$452.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $180.00 / $332.00	Facility		$121.00	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $254.00 / $522.82	Professional		$215.18	$254.00	$522.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $202.57 / $341.68	Professional		$155.30	$202.57	$341.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.23 / $804.92 / $1,413.00	Facility		$392.23	$804.92	$1,413.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $555.00 / $74,999.25	Facility		$184.57	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $238.01 / $506.09	Professional		$129.71	$238.01	$506.09
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $213.98 / $467.33	Professional		$130.19	$213.98	$467.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $118.10 / $484.23	Facility		$118.10	$118.10	$484.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $202.57 / $402.78	Professional		$150.47	$202.57	$402.78