Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.52 / $2,892.00 / $8,585.12	Facility		$271.52	$2,892.00	$8,585.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $271.38 / $726.83	Professional		$187.81	$271.38	$726.83
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 $244.58 / $302.00 / $649.90	Professional		$244.58	$302.00	$649.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.41 / $1,716.00 / $6,213.00	Facility		$316.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $316.41 / $316.41 / $440.07	Professional		$316.41	$316.41	$440.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $382.66 / $382.66	Facility		$382.66	$382.66	$382.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $359.88 / $824.96	Professional		$170.74	$359.88	$824.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $292.39 / $580.61	Facility		$237.00	$292.39	$580.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $418.81 / $884.73	Professional		$361.33	$418.81	$884.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.82 / $295.35 / $574.29	Professional		$256.82	$295.35	$574.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.67 / $2,130.54 / $5,636.43	Facility		$967.67	$2,130.54	$5,636.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $382.66 / $555.00 / $74,999.25	Facility		$382.66	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $395.38 / $931.25	Professional		$202.72	$395.38	$931.25
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 $213.85 / $354.78 / $708.66	Professional		$213.85	$354.78	$708.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $978.82	Facility		$240.50	$240.50	$978.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $307.10 / $731.99	Professional		$252.92	$307.10	$731.99