Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,818.38 / $7,762.47	Facility		$199.53	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $616.60	Professional		$112.20	$239.88	$616.60
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 $190.55 / $229.09 / $524.81	Professional		$190.55	$229.09	$524.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $4,073.80	Facility		$165.96	$165.96	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $371.54	Professional		$165.96	$165.96	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $7,079.46	Facility		$34.67	$199.53	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $776.25	Professional		$128.82	$275.42	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $389.05	Facility		$117.49	$162.18	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $489.78	Professional		$257.04	$371.54	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $602.56	Professional		$213.80	$316.23	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,071.52	Facility		$436.52	$831.76	$1,071.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $239.88	Professional		$123.03	$173.78	$239.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $50,118.72 / $75,857.76	Facility		$147.91	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $660.69	Professional		$295.12	$354.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $6,165.95	Facility		$1,548.82	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $549.54	Professional		$123.03	$257.04	$549.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $218.78	Facility		$95.50	$134.90	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $524.81	Professional		$194.98	$295.12	$524.81