Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,019.95 / $9,120.11	Facility		$128.82	$3,019.95	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $645.65	Professional		$83.18	$173.78	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,122.02	Professional		$354.81	$446.68	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,258.93 / $4,073.80	Facility		$120.23	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $588.84	Professional		$120.23	$120.23	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $53,703.18	Facility		$34.67	$141.25	$53,703.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	52	$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $954.99	Professional		$79.43	$295.12	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $275.42	Facility		$83.18	$114.82	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $758.58	Professional		$389.05	$562.34	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $691.83	Professional		$295.12	$426.58	$691.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $5,888.44	Facility		$1,258.93	$2,630.27	$5,888.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $104.71	Professional		$77.62	$102.33	$104.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $602.56	Professional		$426.58	$537.03	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $338.84 / $812.83	Professional		$81.28	$338.84	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $128.82	Facility		$66.07	$104.71	$128.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $363.08 / $630.96	Professional		$120.23	$363.08	$630.96