Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $1,907.00 / $7,028.00	Facility		$77.09	$1,907.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $88.22 / $249.07	Professional		$45.72	$88.22	$249.07
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 $56.91 / $91.93 / $210.25	Professional		$56.91	$91.93	$210.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.41 / $76.41 / $4,050.00	Facility		$76.41	$76.41	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $76.41 / $165.21	Professional		$76.41	$76.41	$165.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $91.89 / $14,648.00	Facility		$91.89	$91.89	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.23 / $245.26	Professional		$50.12	$100.23	$245.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $70.83 / $332.00	Facility		$35.00	$70.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $153.94 / $321.10	Professional		$130.00	$153.94	$321.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $106.15 / $213.14	Professional		$77.63	$106.15	$213.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $275.16 / $702.50	Facility		$91.63	$275.16	$702.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $555.00 / $74,999.25	Facility		$91.89	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $129.34 / $271.70	Professional		$58.26	$129.34	$271.70
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 $66.63 / $125.11 / $272.64	Professional		$66.63	$125.11	$272.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $57.95 / $233.07	Facility		$57.95	$57.95	$233.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $113.98 / $243.51	Professional		$77.63	$113.98	$243.51