Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,090.30 / $7,762.47	Facility		$186.21	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $478.63	Professional		$112.20	$158.49	$478.63
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 $93.33 / $120.23 / $302.00	Professional		$93.33	$120.23	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,258.93 / $4,073.80	Facility		$186.21	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $50,118.72	Facility		$34.67	$223.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $616.60	Professional		$125.89	$186.21	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $478.63	Facility		$120.23	$151.36	$478.63
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 $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $281.84	Professional		$102.33	$165.96	$281.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $177.83	Professional		$138.04	$177.83	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $354.81	Professional		$144.54	$186.21	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $416.87	Professional		$109.65	$158.49	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $223.87	Facility		$109.65	$158.49	$223.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $316.23	Professional		$109.65	$158.49	$316.23