Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,754.23 / $7,413.10	Facility		$134.90	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $407.38	Professional		$81.28	$141.25	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $323.59	Professional		$100.00	$131.83	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $4,073.80	Facility		$131.83	$131.83	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $204.17	Professional		$131.83	$131.83	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $50,118.72	Facility		$34.67	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $346.74	Professional		$89.13	$158.49	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $302.00	Facility		$75.86	$100.00	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $338.84	Professional		$173.78	$204.17	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $269.15	Professional		$117.49	$154.88	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $398.11	Professional		$169.82	$218.78	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $269.15	Professional		$66.07	$123.03	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $309.03	Facility		$75.86	$100.00	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $302.00	Professional		$114.82	$165.96	$302.00