Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $1,837.00 / $9,868.00	Facility		$108.70	$1,837.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $132.44 / $242.24	Professional		$86.40	$132.44	$242.24
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 $108.23 / $137.24 / $292.08	Professional		$108.23	$137.24	$292.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.35 / $203.35 / $438.12	Professional	50	$162.35	$203.35	$438.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $118.47 / $4,050.00	Facility		$118.47	$118.47	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $118.47 / $170.03	Professional		$118.47	$118.47	$170.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $14,648.00	Facility		$143.41	$143.41	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $187.25 / $427.50	Professional		$91.46	$187.25	$427.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $102.88 / $332.00	Facility		$35.00	$102.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $161.91 / $242.32	Professional		$137.40	$161.91	$242.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $136.44 / $219.99	Professional		$98.16	$136.44	$219.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.09 / $2,445.73 / $4,182.29	Facility		$176.09	$2,445.73	$4,182.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $74,999.25	Facility		$143.41	$143.41	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $190.86 / $420.21	Professional		$104.61	$190.86	$420.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $146.43 / $371.98	Professional		$97.19	$146.43	$371.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $112.66 / $283.49	Facility		$112.66	$112.66	$283.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $143.79 / $243.30	Professional		$107.69	$143.79	$243.30