Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $4,043.00 / $8,907.44	Facility		$132.44	$4,043.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $131.37 / $284.99	Professional		$105.81	$131.37	$284.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $114.39 / $266.94	Professional		$92.12	$114.39	$266.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $158.93 / $158.93	Facility		$158.93	$158.93	$158.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $158.93 / $158.93	Professional		$158.93	$158.93	$158.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $110.04 / $14,648.00	Facility		$110.04	$110.04	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $205.19 / $455.25	Professional		$90.93	$205.19	$455.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $165.98 / $332.00	Facility		$103.07	$165.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $131.52 / $196.82	Professional		$111.50	$131.52	$196.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $115.98 / $177.53	Professional		$84.29	$115.98	$177.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,214.35 / $3,316.80 / $5,633.54	Facility		$2,214.35	$3,316.80	$5,633.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $113.71 / $113.71	Professional		$113.71	$113.71	$113.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $110.04 / $74,999.25	Facility		$110.04	$110.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $185.15 / $406.54	Professional		$101.78	$185.15	$406.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $141.85 / $321.89	Professional		$97.61	$141.85	$321.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $116.18 / $162.80	Facility		$116.18	$116.18	$162.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $123.73 / $195.82	Professional		$90.70	$123.73	$195.82