Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,630.27 / $7,413.10	Facility		$186.21	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $436.52	Professional		$134.90	$181.97	$436.52
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 $128.82 / $162.18 / $407.38	Professional		$128.82	$162.18	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $6,165.95	Facility		$199.53	$199.53	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $229.09	Professional		$199.53	$199.53	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $50,118.72	Facility		$34.67	$245.47	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $602.56	Professional		$147.91	$229.09	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $562.34	Facility		$158.49	$194.98	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	54	$125.89	$125.89	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $354.81	Professional		$134.90	$213.80	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $234.42	Professional		$194.98	$199.53	$234.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $537.03	Professional		$190.55	$288.40	$537.03
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 $125.89 / $186.21 / $478.63	Professional		$125.89	$186.21	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $616.60	Facility		$120.23	$177.83	$616.60
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $95.50 / $107.15 / $141.25	Facility	54	$95.50	$107.15	$141.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $457.09	Professional		$138.04	$204.17	$457.09