Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $1,353.93 / $8,141.80	Facility		$80.97	$1,353.93	$8,141.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $102.03 / $295.63	Professional		$49.74	$102.03	$295.63
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 $74.90 / $102.95 / $239.71	Professional		$74.90	$102.95	$239.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $78.09 / $6,213.00	Facility		$78.09	$78.09	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $78.09 / $159.74	Professional		$78.09	$78.09	$159.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $14,648.00	Facility		$95.46	$95.46	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $117.23 / $244.46	Professional		$53.88	$117.23	$244.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $108.26 / $332.00	Facility		$65.93	$108.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $152.47 / $323.50	Professional		$131.55	$152.47	$323.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $127.36 / $206.65	Professional		$91.01	$127.36	$206.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $760.15 / $2,610.35	Facility		$136.04	$760.15	$2,610.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $115.43	Professional		$115.43	$115.43	$115.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $555.00 / $74,999.25	Facility		$95.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $137.79 / $291.95	Professional		$68.43	$137.79	$291.95
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 $76.00 / $130.97 / $269.49	Professional		$76.00	$130.97	$269.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.14 / $59.14 / $371.92	Facility		$59.14	$59.14	$371.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $127.36 / $263.39	Professional		$91.01	$127.36	$263.39