Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.74 / $3,316.00 / $7,969.00	Facility		$185.74	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $189.86 / $350.07	Professional		$125.00	$189.86	$350.07
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 $144.57 / $189.74 / $416.10	Professional		$144.57	$189.74	$416.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $192.62 / $192.62 / $6,213.00	Facility		$192.62	$192.62	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $192.62 / $296.23	Professional		$192.62	$192.62	$296.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.91 / $231.91 / $14,648.00	Facility		$231.91	$231.91	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $224.77 / $478.98	Professional		$123.74	$224.77	$478.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $206.40 / $351.81	Facility		$131.00	$206.40	$351.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $283.13 / $592.33	Professional		$244.27	$283.13	$592.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $195.07 / $388.52	Professional		$157.15	$195.07	$388.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.91 / $228.91 / $230.17	Professional		$228.91	$228.91	$230.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $231.91 / $555.00 / $74,999.25	Facility		$231.91	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $255.67 / $535.29	Professional		$143.15	$255.67	$535.29
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 $132.44 / $253.47 / $527.37	Professional		$132.44	$253.47	$527.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $147.44 / $462.62	Facility		$147.44	$147.44	$462.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $207.77 / $443.89	Professional		$157.15	$207.77	$443.89