Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.20 / $3,016.00 / $8,442.00	Facility		$285.20	$3,016.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.14 / $300.22 / $615.12	Professional		$197.14	$300.22	$615.12
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 $239.41 / $369.47 / $715.22	Professional		$239.41	$369.47	$715.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $1,716.00 / $6,213.00	Facility		$310.14	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $310.14 / $500.65	Professional		$310.14	$310.14	$500.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $372.62 / $372.62	Facility		$372.62	$372.62	$372.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	AS	$37.26	$37.26	$37.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $361.48 / $809.09	Professional		$182.86	$361.48	$809.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $285.68 / $574.17	Facility		$225.00	$285.68	$574.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $462.42 / $1,102.21	Professional		$398.95	$462.42	$1,102.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $320.01 / $630.73	Professional		$268.74	$320.01	$630.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.16 / $1,978.67 / $4,536.00	Facility		$1,832.16	$1,978.67	$4,536.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $555.00 / $74,999.25	Facility		$372.62	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	AS	$37.26	$37.26	$37.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $225.44 / $414.08 / $884.56	Professional		$225.44	$414.08	$884.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.20 / $418.57 / $864.21	Professional		$240.20	$418.57	$864.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $232.91 / $232.91 / $656.60	Facility		$232.91	$232.91	$656.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $236.11 / $337.29 / $720.61	Professional		$236.11	$337.29	$720.61