Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,818.38 / $7,762.47	Facility		$154.88	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $380.19	Professional		$112.20	$173.78	$380.19
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 $144.54 / $186.21 / $446.68	Professional		$144.54	$186.21	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $4,073.80	Facility		$144.54	$144.54	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $213.80	Professional		$144.54	$144.54	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $173.78 / $50,118.72	Facility		$34.67	$173.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $524.81	Professional		$102.33	$208.93	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $354.81	Facility		$107.15	$186.21	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $316.23	Professional		$162.18	$234.42	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $281.84	Professional		$120.23	$177.83	$281.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $398.11	Professional		$194.98	$234.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $371.54	Professional		$102.33	$169.82	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $426.58	Facility		$83.18	$128.82	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $389.05	Professional		$120.23	$194.98	$389.05