Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.79 / $2,626.00 / $9,477.00	Facility		$177.79	$2,626.00	$9,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $184.15 / $379.63	Professional		$146.00	$184.15	$379.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $197.12 / $383.65	Professional		$150.79	$197.12	$383.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.19 / $1,254.00 / $4,050.00	Facility		$194.19	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $194.19 / $237.64	Professional		$194.19	$194.19	$237.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $229.34 / $3,479.91	Facility		$229.34	$229.34	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $234.25 / $508.82	Professional		$114.02	$234.25	$508.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $226.80 / $349.79	Facility		$148.00	$226.80	$349.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $220.55 / $330.06	Professional		$160.91	$220.55	$330.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $158.94 / $283.82	Professional		$115.99	$158.94	$283.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.70 / $1,189.83 / $2,694.24	Facility		$630.70	$1,189.83	$2,694.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $164.38 / $166.19	Professional		$164.38	$164.38	$166.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $597.00 / $74,999.25	Facility		$229.34	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $244.45 / $512.96	Professional		$133.28	$244.45	$512.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $211.96 / $482.33	Professional		$161.69	$211.96	$482.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $171.20 / $533.67	Facility		$171.20	$171.20	$533.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $236.81 / $342.07	Professional		$115.99	$236.81	$342.07