Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $2,952.00 / $7,839.00	Facility		$163.72	$2,952.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $164.71 / $339.71	Professional		$102.74	$164.71	$339.71
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 $125.40 / $178.20 / $378.52	Professional		$125.40	$178.20	$378.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $171.51 / $6,213.00	Facility		$171.51	$171.51	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $171.51 / $284.19	Professional		$171.51	$171.51	$284.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $204.99 / $204.99	Facility		$204.99	$204.99	$204.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $201.24 / $466.26	Professional		$106.63	$201.24	$466.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $178.19 / $332.00	Facility		$102.00	$178.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $182.63 / $365.04	Professional		$142.94	$182.63	$365.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.50 / $1,669.50 / $1,669.50	Facility		$1,669.50	$1,669.50	$1,669.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $555.00 / $74,999.25	Facility		$204.99	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $240.57 / $508.07	Professional		$125.45	$240.57	$508.07
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 $118.98 / $228.29 / $503.41	Professional		$118.98	$228.29	$503.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $131.68 / $326.42	Facility		$131.68	$131.68	$326.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $212.08 / $417.05	Professional		$142.94	$212.08	$417.05