Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,981.07 / $9,120.11	Facility		$263.03	$3,981.07	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $645.65	Professional		$128.82	$218.78	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $407.38	Professional		$114.82	$147.91	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,698.24 / $6,165.95	Facility		$199.53	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $50,118.72	Facility		$239.88	$239.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $741.31	Professional		$144.54	$275.42	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $489.78	Facility		$147.91	$281.84	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $281.84	Professional		$144.54	$199.53	$281.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $295.12	Professional		$128.82	$194.98	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,801.89	Facility		$1,000.00	$1,000.00	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $489.78	Professional		$169.82	$257.04	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $457.09	Professional		$128.82	$190.55	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $1,047.13	Facility		$114.82	$169.82	$1,047.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $436.52	Professional		$125.89	$194.98	$436.52