Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $3,703.00 / $8,907.00	Facility		$299.52	$3,703.00	$8,907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $293.36 / $563.16	Professional		$209.63	$293.36	$563.16
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 $228.28 / $312.49 / $665.75	Professional		$228.28	$312.49	$665.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $332.71 / $1,716.00 / $6,213.00	Facility		$332.71	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $332.71 / $478.81	Professional		$332.71	$332.71	$478.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $400.81 / $400.81	Facility		$400.81	$400.81	$400.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $362.24 / $836.36	Professional		$189.40	$362.24	$836.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $294.00 / $615.26	Facility		$221.00	$294.00	$615.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.48 / $456.08 / $960.19	Professional		$393.48	$456.08	$960.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $313.04 / $623.44	Professional		$254.88	$313.04	$623.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.94 / $1,710.94 / $3,976.46	Facility		$1,710.94	$1,710.94	$3,976.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $555.00 / $74,999.25	Facility		$400.81	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $418.59 / $932.73	Professional		$233.58	$418.59	$932.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.57 / $375.16 / $815.21	Professional		$213.57	$375.16	$815.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $254.53 / $701.79	Facility		$254.53	$254.53	$701.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $362.22 / $749.75	Professional		$254.88	$362.22	$749.75