Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $3,016.00 / $9,267.00	Facility		$98.38	$3,016.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $115.37 / $235.17	Professional		$62.98	$115.37	$235.17
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 $79.54 / $119.26 / $284.89	Professional		$79.54	$119.26	$284.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $102.23 / $4,050.00	Facility		$102.23	$102.23	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $102.23 / $217.77	Professional		$102.23	$102.23	$217.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $118.50 / $14,648.00	Facility		$118.50	$118.50	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $138.02 / $310.13	Professional		$71.62	$138.02	$310.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $99.54 / $332.00	Facility		$60.00	$99.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $101.75 / $282.89	Professional		$54.00	$101.75	$282.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $139.87 / $270.01	Professional		$100.17	$139.87	$270.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $157.86 / $157.86	Professional		$157.86	$157.86	$157.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $555.00 / $74,999.25	Facility		$118.50	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $178.20 / $362.53	Professional		$82.19	$178.20	$362.53
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 $96.22 / $166.61 / $379.01	Professional		$96.22	$166.61	$379.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $293.50	Facility		$75.05	$75.05	$293.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $156.88 / $308.49	Professional		$100.17	$156.88	$308.49