Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,884.03 / $9,120.11	Facility		$138.04	$2,884.03	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $269.15	Professional		$97.72	$128.82	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $316.23 / $316.23	Professional	50	$316.23	$316.23	$316.23
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 $97.72 / $125.89 / $288.40	Professional		$97.72	$125.89	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $186.21 / $426.58	Professional	50	$147.91	$186.21	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $4,073.80	Facility		$141.25	$141.25	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $162.18	Professional		$141.25	$141.25	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $50,118.72	Facility		$34.67	$169.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $389.05	Professional		$87.10	$151.36	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $97.72 / $218.78	Facility		$39.81	$97.72	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $251.19	Professional		$131.83	$162.18	$251.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $245.47	Professional		$79.43	$123.03	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $398.11	Professional		$134.90	$169.82	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,630.27 / $4,897.79	Facility		$954.99	$2,630.27	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $263.03	Professional		$85.11	$117.49	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $218.78	Facility		$81.28	$138.04	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $245.47	Professional		$64.57	$107.15	$245.47