Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $3,016.00 / $9,267.00	Facility		$96.59	$3,016.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $122.21 / $248.96	Professional		$63.65	$122.21	$248.96
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 $77.58 / $122.81 / $294.01	Professional		$77.58	$122.81	$294.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $100.33 / $4,050.00	Facility		$100.33	$100.33	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $100.33 / $221.12	Professional		$100.33	$100.33	$221.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $121.18 / $14,648.00	Facility		$121.18	$121.18	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $140.44 / $323.98	Professional		$69.68	$140.44	$323.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.15 / $332.00	Facility		$55.00	$95.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.09 / $428.40	Professional		$173.44	$204.09	$428.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $142.91 / $280.16	Professional		$101.36	$142.91	$280.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $156.52 / $182.14	Professional		$156.52	$156.52	$182.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $555.00 / $74,999.25	Facility		$121.18	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $179.53 / $376.84	Professional		$82.84	$179.53	$376.84
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $174.70 / $381.25	Professional		$100.30	$174.70	$381.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $253.97	Facility		$75.98	$75.98	$253.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $162.77 / $320.08	Professional		$101.36	$162.77	$320.08