Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $3,205.00 / $7,839.00	Facility		$235.12	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $241.30 / $631.04	Professional		$160.03	$241.30	$631.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $228.22 / $535.44	Professional		$173.72	$228.22	$535.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $260.02 / $1,716.00 / $6,213.00	Facility		$260.02	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $260.02 / $383.21	Professional		$260.02	$260.02	$383.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $310.58 / $310.58	Facility		$310.58	$310.58	$310.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $323.74 / $663.88	Professional		$177.66	$323.74	$663.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $250.00 / $477.97	Facility		$162.00	$250.00	$477.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.27 / $358.47 / $754.81	Professional		$309.27	$358.47	$754.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $284.29 / $489.32	Professional		$211.84	$284.29	$489.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.32 / $1,690.30 / $3,282.44	Facility		$477.32	$1,690.30	$3,282.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $555.00 / $74,999.25	Facility		$310.58	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $341.10 / $743.34	Professional		$205.03	$341.10	$743.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $307.31 / $688.58	Professional		$182.04	$307.31	$688.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.51 / $197.51 / $655.74	Facility		$197.51	$197.51	$655.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $284.29 / $581.78	Professional		$211.84	$284.29	$581.78