Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.39 / $3,053.75 / $8,907.44	Facility		$126.39	$3,053.75	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $126.84 / $291.47	Professional		$82.78	$126.84	$291.47
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 $101.42 / $146.07 / $315.02	Professional		$101.42	$146.07	$315.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.40 / $224.33 / $478.95	Professional	50	$152.40	$224.33	$478.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $1,254.00 / $6,213.00	Facility		$133.01	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $133.01 / $226.59	Professional		$133.01	$133.01	$226.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.93 / $159.93 / $159.93	Facility		$159.93	$159.93	$159.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $164.73 / $354.50	Professional		$86.85	$164.73	$354.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $122.79 / $332.00	Facility		$63.00	$122.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $213.81 / $446.85	Professional		$184.46	$213.81	$446.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $147.87 / $294.17	Professional		$99.88	$147.87	$294.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.14 / $1,856.16 / $4,451.78	Facility		$548.14	$1,856.16	$4,451.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $186.85 / $186.85	Professional		$186.85	$186.85	$186.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.93 / $555.00 / $74,999.25	Facility		$159.93	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $186.22 / $387.16	Professional		$100.03	$186.22	$387.16
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 $104.58 / $181.16 / $396.97	Professional		$104.58	$181.16	$396.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $100.06 / $206.06	Facility		$100.06	$100.06	$206.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $170.91 / $336.09	Professional		$99.88	$170.91	$336.09