Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.51 / $2,991.90 / $7,575.43	Facility		$271.51	$2,991.90	$7,575.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $307.97 / $628.05	Professional		$186.16	$307.97	$628.05
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 $219.25 / $310.77 / $733.69	Professional		$219.25	$310.77	$733.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $1,716.00 / $6,213.00	Facility		$299.11	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $299.11 / $543.08	Professional		$299.11	$299.11	$543.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $363.14 / $363.14	Facility		$363.14	$363.14	$363.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $385.71 / $853.55	Professional		$176.11	$385.71	$853.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $261.45 / $560.29	Facility		$164.00	$261.45	$560.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.57 / $517.62 / $1,090.63	Professional		$446.57	$517.62	$1,090.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $353.37 / $705.92	Professional		$250.72	$353.37	$705.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,970.72 / $1,970.72 / $1,970.72	Facility		$1,970.72	$1,970.72	$1,970.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $442.98 / $442.98	Professional		$442.98	$442.98	$442.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $555.00 / $74,999.25	Facility		$363.14	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $449.72 / $984.03	Professional		$232.30	$449.72	$984.03
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 $235.23 / $427.97 / $938.59	Professional		$235.23	$427.97	$938.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $229.84 / $689.59	Facility		$229.84	$229.84	$689.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $410.14 / $806.52	Professional		$250.72	$410.14	$806.52