Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.72 / $3,000.00 / $7,307.00	Facility		$251.72	$3,000.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $248.83 / $518.29	Professional		$166.45	$248.83	$518.29
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 $180.67 / $252.62 / $599.67	Professional		$180.67	$252.62	$599.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.67 / $1,254.00 / $4,050.00	Facility		$265.67	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $265.67 / $427.53	Professional		$265.67	$265.67	$427.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.04 / $319.04 / $319.04	Facility		$319.04	$319.04	$319.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.99 / $333.22 / $710.89	Professional		$188.99	$333.22	$710.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $230.06 / $495.59	Facility		$115.00	$230.06	$495.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.45 / $405.90 / $856.60	Professional		$347.45	$405.90	$856.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $277.04 / $553.44	Professional		$217.32	$277.04	$553.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $804.92 / $3,944.20	Facility		$54.82	$804.92	$3,944.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.83 / $358.83 / $358.83	Professional		$358.83	$358.83	$358.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $319.04 / $555.00 / $74,999.25	Facility		$319.04	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $370.88 / $857.10	Professional		$200.21	$370.88	$857.10
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 $183.24 / $346.30 / $755.77	Professional		$183.24	$346.30	$755.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $202.17 / $202.17 / $661.22	Facility		$202.17	$202.17	$661.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $295.95 / $632.29	Professional		$217.32	$295.95	$632.29