Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $2,884.50 / $7,307.00	Facility		$129.53	$2,884.50	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $156.19 / $354.63	Professional		$85.74	$156.19	$354.63
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 $118.71 / $161.71 / $368.31	Professional		$118.71	$161.71	$368.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $1,716.00 / $6,213.00	Facility		$134.74	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $134.74 / $248.37	Professional		$134.74	$134.74	$248.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $162.44	Facility		$162.44	$162.44	$162.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $192.14 / $406.09	Professional		$95.83	$192.14	$406.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $180.00 / $332.00	Facility		$111.07	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.02 / $239.96 / $510.01	Professional		$207.02	$239.96	$510.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $163.51 / $326.45	Professional		$143.77	$163.51	$326.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.32 / $3,664.32 / $3,664.32	Facility		$3,664.32	$3,664.32	$3,664.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $555.00 / $74,999.25	Facility		$162.44	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $217.25 / $460.05	Professional		$118.14	$217.25	$460.05
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 $117.77 / $192.34 / $427.84	Professional		$117.77	$192.34	$427.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.76 / $100.76 / $596.45	Facility		$100.76	$100.76	$596.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $174.57 / $416.10	Professional		$122.20	$174.57	$416.10