Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $3,145.28 / $9,267.00	Facility		$168.58	$3,145.28	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $259.63 / $492.25	Professional		$118.13	$259.63	$492.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $251.48 / $635.75	Professional		$205.22	$251.48	$635.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.18 / $174.18 / $4,050.00	Facility		$174.18	$174.18	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $174.18 / $402.88	Professional		$174.18	$174.18	$402.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $6,511.02	Facility		$207.15	$207.15	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $292.18 / $807.49	Professional		$130.69	$292.18	$807.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $203.55 / $447.27	Facility		$126.46	$203.55	$447.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $278.29 / $377.24 / $565.85	Professional		$278.29	$377.24	$565.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $318.14 / $577.87	Professional		$229.81	$318.14	$577.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.87 / $1,038.89 / $2,318.28	Facility		$399.87	$1,038.89	$2,318.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $181.44 / $252.30	Professional		$179.47	$181.44	$252.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $6,511.02	Facility		$207.15	$207.15	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $340.45 / $861.44	Professional		$140.44	$340.45	$861.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $3,511.00 / $5,963.00	Facility		$1,544.00	$3,511.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $369.79 / $763.63	Professional		$271.20	$369.79	$763.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $240.22	Facility		$140.97	$140.97	$240.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $231.38 / $318.14 / $577.87	Professional		$231.38	$318.14	$577.87