Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.88 / $3,504.32 / $8,442.00	Facility		$295.88	$3,504.32	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $275.52 / $554.36	Professional		$158.34	$275.52	$554.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $366.50 / $732.14	Professional		$295.12	$366.50	$732.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $442.69 / $549.75 / $1,109.33	Professional	50	$442.69	$549.75	$1,109.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $255.11 / $1,716.00 / $6,213.00	Facility		$255.11	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $255.11 / $478.56	Professional		$255.11	$255.11	$478.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $301.98 / $1,424.38	Facility		$301.98	$301.98	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $314.74 / $757.01	Professional		$160.85	$314.74	$757.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $243.00 / $460.73	Facility		$150.00	$243.00	$460.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.20 / $436.13 / $687.30	Professional		$361.20	$436.13	$687.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $301.57 / $697.69	Professional		$178.11	$301.57	$697.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.86 / $418.86 / $418.86	Professional		$418.86	$418.86	$418.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $597.00 / $74,999.25	Facility		$301.98	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $390.32 / $804.66	Professional		$190.00	$390.32	$804.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.91 / $368.07 / $740.68	Professional		$281.91	$368.07	$740.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.07 / $248.07 / $567.07	Facility		$248.07	$248.07	$567.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $382.19 / $847.54	Professional		$178.11	$382.19	$847.54