Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.23 / $2,902.00 / $7,563.00	Facility		$199.23	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $192.63 / $374.07	Professional		$128.15	$192.63	$374.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $249.42 / $282.24	Professional	50	$194.52	$249.42	$282.24
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 $193.10 / $239.80 / $482.18	Professional		$193.10	$239.80	$482.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.66 / $359.71 / $727.65	Professional	50	$289.66	$359.71	$727.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $203.11 / $203.11 / $6,213.00	Facility		$203.11	$203.11	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $203.11 / $312.93	Professional		$203.11	$203.11	$312.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.98 / $241.44 / $14,648.00	Facility		$202.98	$241.44	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $238.61 / $503.45	Professional		$128.25	$238.61	$503.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $176.84 / $371.93	Facility		$80.00	$176.84	$371.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $289.83 / $456.18	Professional		$239.83	$289.83	$456.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $199.88 / $402.37	Professional		$113.02	$199.88	$402.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $285.56 / $285.56	Professional		$285.56	$285.56	$285.56
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.76 / $263.76 / $406.35	Professional	50	$263.76	$263.76	$406.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.98 / $555.00 / $74,999.25	Facility		$202.98	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $260.70 / $551.61	Professional		$136.51	$260.70	$551.61
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 $183.97 / $245.29 / $483.13	Professional		$183.97	$245.29	$483.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $198.13 / $443.44	Facility		$198.13	$198.13	$443.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $222.87 / $461.38	Professional		$113.02	$222.87	$461.38