Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,951.21 / $7,413.10	Facility		$165.96	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $501.19	Professional		$72.44	$204.17	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $416.87	Professional		$181.97	$213.80	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,258.93 / $4,073.80	Facility		$100.00	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $309.03	Professional		$100.00	$100.00	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $3,801.89	Facility		$123.03	$123.03	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $660.69	Professional		$87.10	$251.19	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $177.83 / $302.00	Facility		$79.43	$177.83	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $467.74	Professional		$263.03	$338.84	$467.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $457.09	Professional		$194.98	$281.84	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $562.34	Professional		$245.47	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $389.05	Professional		$63.10	$173.78	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $426.58	Facility		$58.88	$87.10	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $457.09	Professional		$173.78	$257.04	$457.09