Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $199.53 / $2,630.27	Facility		$60.26	$199.53	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $204.17	Professional		$50.12	$91.20	$204.17
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 $69.18 / $85.11 / $213.80	Professional		$69.18	$85.11	$213.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $4,073.80	Facility		$72.44	$72.44	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Professional		$72.44	$72.44	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $50,118.72	Facility		$34.67	$89.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $288.40	Professional		$53.70	$104.71	$288.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $199.53	Facility		$47.86	$67.61	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $251.19	Professional		$125.89	$173.78	$251.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $190.55	Professional		$69.18	$123.03	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $588.84	Facility		$165.96	$263.03	$588.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50,118.72 / $75,857.76	Facility		$48.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $398.11	Professional		$100.00	$154.88	$398.11
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 $46.77 / $85.11 / $213.80	Professional		$46.77	$85.11	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $213.80	Facility		$42.66	$63.10	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $213.80	Professional		$70.79	$112.20	$213.80