Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $3,016.00 / $9,038.00	Facility		$121.53	$3,016.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $347.35 / $690.00	Professional		$73.81	$347.35	$690.00
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 $92.18 / $369.89 / $973.40	Professional		$92.18	$369.89	$973.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.76 / $119.76 / $6,213.00	Facility		$119.76	$119.76	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $119.76 / $602.46	Professional		$119.76	$119.76	$602.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $142.22 / $142.22	Facility		$142.22	$142.22	$142.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $267.89 / $938.08	Professional		$81.04	$267.89	$938.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $108.93 / $332.00	Facility		$54.00	$108.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.89 / $485.05 / $998.40	Professional		$410.89	$485.05	$998.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $441.05 / $662.27	Professional		$301.02	$441.05	$662.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.54 / $1,048.54 / $1,054.07	Facility		$1,048.54	$1,048.54	$1,054.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $555.00 / $74,999.25	Facility		$142.22	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $453.34 / $1,068.22	Professional		$99.47	$453.34	$1,068.22
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 $301.20 / $493.32 / $1,037.65	Professional		$301.20	$493.32	$1,037.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $89.35 / $131.59	Facility		$89.35	$89.35	$131.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $457.63 / $756.64	Professional		$139.69	$457.63	$756.64