Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.81 / $3,205.00 / $8,442.00	Facility		$215.81	$3,205.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $1,555.27 / $2,747.75	Professional		$160.00	$1,555.27	$2,747.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.24 / $1,642.65 / $3,618.50	Professional		$1,230.24	$1,642.65	$3,618.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,845.36 / $2,463.96 / $5,427.75	Professional	50	$1,845.36	$2,463.96	$5,427.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $215.75 / $13,477.50	Facility		$215.75	$215.75	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $215.75 / $2,359.98	Professional		$215.75	$215.75	$2,359.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $256.57 / $13,296.25	Facility		$256.57	$256.57	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $553.33 / $3,707.68	Professional		$142.11	$553.33	$3,707.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.26 / $248.31 / $391.97	Facility		$157.26	$248.31	$391.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.24 / $1,709.83 / $2,579.15	Professional		$1,378.24	$1,709.83	$2,579.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.19 / $1,560.60 / $2,312.82	Professional		$1,179.19	$1,560.60	$2,312.82
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $1,177.76 / $1,177.76 / $1,341.76	Professional		$1,177.76	$1,177.76	$1,341.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,992.47 / $1,992.47 / $2,014.39	Professional		$1,992.47	$1,992.47	$2,014.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $597.00 / $74,999.25	Facility		$256.57	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $1,498.54 / $3,895.15	Professional		$177.64	$1,498.54	$3,895.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,203.00	Facility		$1,883.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,410.74 / $2,122.69 / $5,174.32	Professional		$1,410.74	$2,122.69	$5,174.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.07 / $188.07 / $240.28	Facility		$188.07	$188.07	$240.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $1,523.76 / $2,474.44	Professional		$261.33	$1,523.76	$2,474.44