Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.95 / $3,419.00 / $9,267.00	Facility		$343.95	$3,419.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $344.42 / $740.12	Professional		$233.74	$344.42	$740.12
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 $283.89 / $414.90 / $847.08	Professional		$283.89	$414.90	$847.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $369.54 / $1,716.00 / $6,213.00	Facility		$369.54	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $369.54 / $369.54 / $568.63	Professional		$369.54	$369.54	$568.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.54 / $442.54 / $442.54	Facility		$442.54	$442.54	$442.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $44.25 / $44.25 / $44.25	Facility	AS	$44.25	$44.25	$44.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $423.45 / $948.94	Professional		$214.65	$423.45	$948.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $328.90 / $669.69	Facility		$273.83	$328.90	$669.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $456.27 / $528.86 / $1,251.81	Professional		$456.27	$528.86	$1,251.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.94 / $365.98 / $723.35	Professional		$322.94	$365.98	$723.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.16 / $2,474.50 / $4,537.00	Facility		$1,832.16	$2,474.50	$4,537.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $442.54 / $555.00 / $74,999.25	Facility		$442.54	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $44.25 / $44.25 / $44.25	Facility	AS	$44.25	$44.25	$44.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $256.76 / $481.56 / $1,021.51	Professional		$256.76	$481.56	$1,021.51
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 $268.37 / $453.95 / $985.34	Professional		$268.37	$453.95	$985.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $276.80 / $276.80 / $813.10	Facility		$276.80	$276.80	$813.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.57 / $420.26 / $826.43	Professional		$318.57	$420.26	$826.43