Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.91 / $3,145.28 / $8,327.49	Facility		$225.91	$3,145.28	$8,327.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $419.88 / $1,047.84	Professional		$137.62	$419.88	$1,047.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $700.36 / $1,430.28	Professional		$151.30	$700.36	$1,430.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $192.14 / $4,050.00	Facility		$192.14	$192.14	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $192.14 / $936.01	Professional		$192.14	$192.14	$936.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.02 / $229.02 / $14,648.00	Facility		$229.02	$229.02	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $467.78 / $1,351.85	Professional		$135.15	$467.78	$1,351.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $174.97 / $336.47	Facility		$98.00	$174.97	$336.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $726.20 / $858.10 / $1,766.25	Professional		$726.20	$858.10	$1,766.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.39 / $715.29 / $1,162.48	Professional		$528.39	$715.29	$1,162.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.74 / $899.87 / $1,865.25	Facility		$717.74	$899.87	$1,865.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.02 / $555.00 / $74,999.25	Facility		$229.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $664.87 / $1,597.52	Professional		$157.19	$664.87	$1,597.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.84 / $755.54 / $1,580.62	Professional		$413.84	$755.54	$1,580.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $143.35 / $270.32	Facility		$143.35	$143.35	$270.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $686.36 / $1,328.14	Professional		$270.32	$686.36	$1,328.14