Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $2,596.50 / $7,307.00	Facility		$107.90	$2,596.50	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $103.06 / $255.74	Professional		$57.87	$103.06	$255.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $114.28 / $232.25	Professional		$79.84	$114.28	$232.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $1,254.00 / $4,050.00	Facility		$136.66	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $171.53	Professional		$136.66	$136.66	$171.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $164.77 / $14,648.00	Facility		$164.77	$164.77	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $142.09 / $320.77	Professional		$71.45	$142.09	$320.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $116.00 / $332.00	Facility		$40.00	$116.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $163.47 / $348.49	Professional		$141.04	$163.47	$348.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $111.94 / $221.72	Professional		$58.75	$111.94	$221.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.63 / $416.63 / $416.63	Facility		$416.63	$416.63	$416.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $555.00 / $74,999.25	Facility		$164.77	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $153.47 / $334.98	Professional		$66.93	$153.47	$334.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,651.00 / $4,592.00	Facility		$1,252.00	$2,651.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $139.01 / $309.04	Professional		$78.51	$139.01	$309.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $102.61 / $185.90	Facility		$102.61	$102.61	$185.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $128.82 / $282.61	Professional		$58.75	$128.82	$282.61