Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,677.35 / $11,220.18	Facility		$275.42	$4,677.35	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $616.60	Professional		$181.97	$223.87	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $371.54	Professional		$154.88	$181.97	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,398.83 / $10,964.78	Facility		$275.42	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,445.44 / $7,079.46	Facility		$338.84	$1,445.44	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $724.44	Professional		$173.78	$309.03	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $707.95	Facility		$199.53	$281.84	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $416.87	Professional		$213.80	$263.03	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $426.58	Professional		$162.18	$234.42	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,248.07	Facility		$2,454.71	$2,454.71	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $50,118.72 / $75,857.76	Facility		$190.55	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $524.81	Professional		$234.42	$389.05	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $9,549.93	Facility		$1,819.70	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $776.25	Facility		$162.18	$239.88	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $512.86	Professional		$162.18	$239.88	$512.86