Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,019.95 / $8,511.38	Facility		$275.42	$3,019.95	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $660.69	Professional		$190.55	$257.04	$660.69
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 $186.21 / $234.42 / $575.44	Professional		$186.21	$234.42	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $6,165.95	Facility		$295.12	$295.12	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $50,118.72	Facility		$354.81	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $870.96	Professional		$213.80	$346.74	$870.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $229.09 / $512.86	Facility		$64.57	$229.09	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $524.81	Professional		$269.15	$380.19	$524.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $501.19	Professional		$194.98	$309.03	$501.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $338.84	Professional		$245.47	$302.00	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $50,118.72 / $75,857.76	Facility		$223.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $537.03	Professional		$269.15	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $676.08	Professional		$186.21	$269.15	$676.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $831.76	Facility		$173.78	$251.19	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $537.03	Professional		$194.98	$288.40	$537.03