Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $2,518.00 / $7,185.00	Facility		$93.29	$2,518.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $98.92 / $258.93	Professional		$64.94	$98.92	$258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $111.87 / $245.63	Professional		$78.61	$111.87	$245.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $1,254.00 / $4,050.00	Facility		$101.60	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $101.60 / $168.92	Professional		$101.60	$101.60	$168.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $121.20 / $14,648.00	Facility		$121.20	$121.20	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $129.36 / $280.33	Professional		$69.91	$129.36	$280.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $119.39 / $332.00	Facility		$63.00	$119.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $156.56 / $330.68	Professional		$135.07	$156.56	$330.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $110.72 / $214.05	Professional		$84.05	$110.72	$214.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,211.19 / $2,211.19 / $2,211.19	Facility		$2,211.19	$2,211.19	$2,211.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $144.63 / $229.15	Professional		$143.91	$144.63	$229.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $555.00 / $74,999.25	Facility		$121.20	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $146.97 / $346.50	Professional		$80.00	$146.97	$346.50
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 $76.78 / $135.51 / $292.56	Professional		$76.78	$135.51	$292.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $76.19 / $266.45	Facility		$76.19	$76.19	$266.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $124.36 / $244.56	Professional		$84.05	$124.36	$244.56