Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $1,729.96 / $9,556.35	Facility		$87.12	$1,729.96	$9,556.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $102.68 / $268.20	Professional		$53.50	$102.68	$268.20
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 $75.37 / $104.69 / $240.19	Professional		$75.37	$104.69	$240.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $82.55 / $6,213.00	Facility		$82.55	$82.55	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $82.55 / $159.90	Professional		$82.55	$82.55	$159.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $100.68 / $14,648.00	Facility		$100.68	$100.68	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $118.62 / $244.85	Professional		$56.71	$118.62	$244.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $115.20 / $332.00	Facility		$69.45	$115.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $155.12 / $329.05	Professional		$133.83	$155.12	$329.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $127.15 / $210.40	Professional		$92.66	$127.15	$210.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $503.52 / $945.45	Facility		$125.94	$503.52	$945.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $555.00 / $74,999.25	Facility		$100.68	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $135.21 / $286.33	Professional		$68.06	$135.21	$286.33
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 $76.23 / $131.41 / $286.48	Professional		$76.23	$131.41	$286.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $62.73 / $403.18	Facility		$62.73	$62.73	$403.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $127.15 / $268.18	Professional		$78.76	$127.15	$268.18