Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,951.21 / $7,413.10	Facility		$125.89	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $208.93 / $501.19	Professional		$72.44	$208.93	$501.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	50	$323.59	$323.59	$323.59
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 $165.96 / $204.17 / $446.68	Professional		$165.96	$204.17	$446.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $309.03 / $660.69	Professional	50	$251.19	$309.03	$660.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $4,073.80	Facility		$95.50	$95.50	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $263.03	Professional		$95.50	$95.50	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $50,118.72	Facility		$34.67	$114.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $524.81	Professional		$75.86	$181.97	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $208.93	Facility		$64.57	$95.50	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $389.05	Professional		$208.93	$251.19	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $389.05	Professional		$125.89	$194.98	$389.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $229.09	Professional		$218.78	$229.09	$229.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $398.11	Professional		$213.80	$269.15	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,630.27 / $4,897.79	Facility		$831.76	$2,630.27	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $154.88 / $316.23	Professional		$61.66	$154.88	$316.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $288.40	Facility		$54.95	$91.20	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $389.05	Professional		$125.89	$194.98	$389.05