Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,019.95 / $8,912.51	Facility		$204.17	$3,019.95	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $575.44	Professional		$87.10	$208.93	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $602.56	Professional		$204.17	$257.04	$602.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $4,073.80	Facility		$141.25	$141.25	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $346.74	Professional		$141.25	$141.25	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $50,118.72	Facility		$34.67	$165.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $316.23 / $851.14	Professional		$120.23	$316.23	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $316.23	Facility		$97.72	$131.83	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $478.63	Professional		$245.47	$331.13	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $512.86	Professional		$199.53	$316.23	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,786.30	Facility		$1,778.28	$2,691.53	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $630.96	Professional		$281.84	$338.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $512.86	Professional		$69.18	$181.97	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $154.88	Facility		$79.43	$104.71	$154.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $478.63	Professional		$165.96	$245.47	$478.63