Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.67 / $2,626.00 / $7,185.00	Facility		$286.67	$2,626.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $296.13 / $594.84	Professional		$188.97	$296.13	$594.84
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 $211.70 / $277.11 / $691.81	Professional		$211.70	$277.11	$691.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.64 / $301.64 / $6,213.00	Facility		$301.64	$301.64	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $301.64 / $522.23	Professional		$301.64	$301.64	$522.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.79 / $362.79 / $14,648.00	Facility		$362.79	$362.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $377.07 / $845.10	Professional		$178.54	$377.07	$845.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $262.22 / $555.84	Facility		$158.00	$262.22	$555.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $488.78 / $1,026.29	Professional		$421.69	$488.78	$1,026.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $334.94 / $671.19	Professional		$249.45	$334.94	$671.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.23 / $643.15 / $786.11	Facility		$392.23	$643.15	$786.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.96 / $425.96 / $630.85	Professional		$425.96	$425.96	$630.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $362.79 / $555.00 / $74,999.25	Facility		$362.79	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.67 / $432.39 / $929.87	Professional		$243.67	$432.39	$929.87
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 $238.80 / $374.96 / $840.32	Professional		$238.80	$374.96	$840.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $230.91 / $673.56	Facility		$230.91	$230.91	$673.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $389.96 / $766.84	Professional		$249.45	$389.96	$766.84