Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $3,600.25 / $9,058.86	Facility		$204.33	$3,600.25	$9,058.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $204.33 / $462.20	Professional		$88.36	$204.33	$462.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $254.38 / $588.01	Professional		$200.29	$254.38	$588.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $140.38 / $4,050.00	Facility		$140.38	$140.38	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $140.38 / $348.55	Professional		$140.38	$140.38	$348.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $166.37 / $3,479.91	Facility		$166.37	$166.37	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $300.10 / $762.46	Professional		$115.71	$300.10	$762.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $161.61 / $332.00	Facility		$109.36	$161.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $322.19 / $482.17	Professional		$246.14	$322.19	$482.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $222.20 / $443.63	Professional		$195.38	$222.20	$443.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.50 / $2,604.92 / $3,195.89	Facility		$1,717.50	$2,604.92	$3,195.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $123.70	Professional		$123.70	$123.70	$123.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $555.00 / $3,479.91	Facility		$166.37	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $340.10 / $781.60	Professional		$138.63	$340.10	$781.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $292.26 / $673.12	Professional		$153.80	$292.26	$673.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $104.72 / $177.84	Facility		$104.72	$104.72	$177.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $237.23 / $482.21	Professional		$195.38	$237.23	$482.21