Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,884.03 / $7,762.47	Facility		$288.40	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $1,174.90	Professional		$162.18	$363.08	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $891.25	Professional		$302.00	$380.19	$891.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $6,165.95	Facility		$245.47	$245.47	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $549.54	Professional		$245.47	$245.47	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $295.12 / $50,118.72	Facility		$34.67	$295.12	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $870.96	Professional		$173.78	$380.19	$870.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $524.81	Facility		$162.18	$218.78	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $870.96	Professional		$457.09	$537.03	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $724.44	Professional		$309.03	$426.58	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $457.09	Professional		$371.54	$416.87	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $50,118.72 / $75,857.76	Facility		$186.21	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $562.34	Professional		$407.38	$501.19	$562.34
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 $123.03 / $263.03 / $630.96	Professional		$123.03	$263.03	$630.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $549.54	Facility		$141.25	$186.21	$549.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $724.44	Professional		$295.12	$389.05	$724.44