Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,858.72 / $7,307.00	Facility		$223.87	$2,858.72	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $268.07 / $547.61	Professional		$155.56	$268.07	$547.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.69 / $259.73 / $607.04	Professional		$198.69	$259.73	$607.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $222.27 / $1,254.00 / $4,050.00	Facility		$222.27	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $222.27 / $355.95	Professional		$222.27	$222.27	$355.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.16 / $271.16 / $3,479.91	Facility		$271.16	$271.16	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $364.03 / $839.46	Professional		$172.98	$364.03	$839.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $250.00 / $414.43	Facility		$170.00	$250.00	$414.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $335.70 / $502.40	Professional		$288.22	$335.70	$502.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $271.27 / $460.48	Professional		$208.68	$271.27	$460.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $2,213.78 / $5,595.19	Facility		$9.58	$2,213.78	$5,595.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $189.42 / $189.42	Professional		$189.42	$189.42	$189.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.16 / $597.00 / $8,498.00	Facility		$271.16	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $371.09 / $895.69	Professional		$195.17	$371.09	$895.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $308.11 / $702.73	Professional		$206.43	$308.11	$702.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $173.01 / $579.60	Facility		$173.01	$173.01	$579.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $286.25 / $503.14	Professional		$203.86	$286.25	$503.14