Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.21 / $2,739.00 / $9,594.00	Facility		$147.21	$2,739.00	$9,594.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $185.00 / $540.28	Professional		$115.74	$185.00	$540.28
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 $112.78 / $152.54 / $370.94	Professional		$112.78	$152.54	$370.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $143.56 / $4,050.00	Facility		$143.56	$143.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $143.56 / $229.98	Professional		$143.56	$143.56	$229.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $172.10 / $172.10	Facility		$172.10	$172.10	$172.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $193.57 / $423.39	Professional		$104.59	$193.57	$423.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.25 / $180.00 / $332.00	Facility		$115.25	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $218.89 / $507.10	Professional		$186.27	$218.89	$507.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $186.30 / $298.45	Professional		$135.66	$186.30	$298.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.48 / $734.25 / $2,826.00	Facility		$416.48	$734.25	$2,826.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $555.00 / $74,999.25	Facility		$172.10	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $201.16 / $478.63	Professional		$119.05	$201.16	$478.63
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 $103.31 / $178.85 / $384.60	Professional		$103.31	$178.85	$384.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $110.35 / $521.61	Facility		$110.35	$110.35	$521.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $196.57 / $380.41	Professional		$111.72	$196.57	$380.41