Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $571.24 / $1,302.39	Facility		$217.83	$571.24	$1,302.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $787.45 / $2,268.08	Professional		$233.49	$787.45	$2,268.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.04 / $856.14 / $2,043.27	Professional		$586.04	$856.14	$2,043.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,254.00 / $4,050.00	Facility		$257.04	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $987.54	Professional		$257.04	$257.04	$987.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $276.45	Professional		$276.45	$276.45	$276.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.95 / $284.00 / $491.32	Facility		$212.95	$284.00	$491.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $583.47 / $788.86 / $1,193.70	Professional		$583.47	$788.86	$1,193.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.53 / $767.34 / $1,042.25	Professional		$498.53	$767.34	$1,042.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $429.29 / $1,083.76	Professional		$220.69	$429.29	$1,083.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $745.76 / $1,003.60 / $2,299.25	Professional		$745.76	$1,003.60	$2,299.25
United Facility/Professional Professional Modifier Low / Median / High Price $652.92 / $983.34 / $2,116.35	Professional		$652.92	$983.34	$2,116.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $226.68 / $499.31	Facility		$226.68	$226.68	$499.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $686.67 / $1,115.08	Professional		$452.91	$686.67	$1,115.08