Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,630.27 / $7,413.10	Facility		$114.82	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $457.09	Professional		$74.13	$123.03	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $288.40	Professional		$102.33	$128.82	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,258.93 / $4,073.80	Facility		$117.49	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $181.97	Professional		$117.49	$117.49	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $53,703.18	Facility		$138.04	$138.04	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $323.59	Professional		$79.43	$147.91	$323.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $263.03	Facility		$72.44	$107.15	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $295.12	Professional		$151.36	$181.97	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $234.42	Professional		$97.72	$134.90	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $9,772.37	Facility		$3,630.78	$3,630.78	$9,772.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $173.78	Professional		$154.88	$158.49	$173.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $50,118.72 / $75,857.76	Facility		$85.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $398.11	Professional		$154.88	$194.98	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $239.88	Professional		$57.54	$107.15	$239.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $302.00	Facility		$66.07	$87.10	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $269.15	Professional		$97.72	$144.54	$269.15