Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.03 / $2,002.67 / $7,314.41	Facility		$120.03	$2,002.67	$7,314.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $727.00 / $2,089.73	Professional		$89.10	$727.00	$2,089.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,203.29 / $3,166.58	Professional		$855.90	$1,203.29	$3,166.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,367.96 / $1,804.94 / $4,749.87	Professional	50	$1,367.96	$1,804.94	$4,749.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $125.01 / $4,050.00	Facility		$125.01	$125.01	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.01 / $1,575.98	Professional		$125.01	$125.01	$1,575.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $338.08 / $2,917.63	Professional		$94.86	$338.08	$2,917.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $169.18 / $610.00	Facility		$104.73	$169.18	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $929.63 / $1,260.16 / $1,786.95	Professional		$929.63	$1,260.16	$1,786.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.98 / $1,209.13 / $1,941.10	Professional		$816.98	$1,209.13	$1,941.10
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $929.63 / $929.63 / $929.63	Professional		$929.63	$929.63	$929.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,623.71 / $4,623.71 / $4,632.13	Facility		$4,623.71	$4,623.71	$4,632.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $108.62 / $1,443.32	Professional		$108.02	$108.62	$1,443.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $597.00	Facility		$150.18	$150.18	$597.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $1,202.66 / $3,023.32	Professional		$108.41	$1,202.66	$3,023.32
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,826.00 / $4,840.00	Facility		$835.00	$2,826.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,494.40 / $3,616.88	Professional		$979.11	$1,494.40	$3,616.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $109.52 / $178.98	Facility		$109.52	$109.52	$178.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $271.98 / $1,138.54 / $1,941.10	Professional		$271.98	$1,138.54	$1,941.10