Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,238.72 / $7,585.78	Facility		$186.21	$2,238.72	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $758.58	Professional		$123.03	$245.47	$758.58
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 $162.18 / $199.53 / $457.09	Professional		$162.18	$199.53	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $4,073.80	Facility		$144.54	$144.54	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $204.17	Professional		$144.54	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $177.83 / $50,118.72	Facility		$34.67	$177.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $407.38	Professional		$107.15	$218.78	$407.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $346.74	Facility		$104.71	$169.82	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $331.13	Professional		$169.82	$204.17	$331.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $263.03	Professional		$114.82	$186.21	$263.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $338.84	Professional		$295.12	$295.12	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$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 $1,047.13 / $2,754.23 / $4,897.79	Facility		$1,047.13	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $316.23	Professional		$72.44	$141.25	$316.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $645.65	Facility		$83.18	$109.65	$645.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $331.13	Professional		$112.20	$186.21	$331.13