Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.98 / $2,902.00 / $7,563.00	Facility		$186.98	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $240.00 / $464.68	Professional		$100.67	$240.00	$464.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $315.48 / $630.12	Professional		$240.37	$315.48	$630.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $374.57 / $475.73 / $964.53	Professional	50	$374.57	$475.73	$964.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $161.97 / $4,050.00	Facility		$161.97	$161.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $161.97 / $415.51	Professional		$161.97	$161.97	$415.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.67 / $192.67 / $222.28	Facility		$192.67	$192.67	$222.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $250.50 / $637.87	Professional		$98.87	$250.50	$637.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $141.18 / $332.00	Facility		$35.00	$141.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.49 / $369.34 / $586.12	Professional		$308.49	$369.34	$586.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $260.80 / $518.17	Professional		$156.85	$260.80	$518.17
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $242.94 / $242.94	Professional		$242.94	$242.94	$242.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.75 / $510.75 / $510.75	Facility		$510.75	$510.75	$510.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $359.72 / $363.68	Professional		$338.92	$359.72	$363.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.67 / $555.00 / $74,999.25	Facility		$192.67	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $334.64 / $674.65	Professional		$105.80	$334.64	$674.65
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $319.43 / $705.32	Professional		$232.42	$319.43	$705.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $158.02 / $345.74	Facility		$158.02	$158.02	$345.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $287.02 / $594.17	Professional		$156.85	$287.02	$594.17