Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $1,689.00 / $7,610.96	Facility		$79.61	$1,689.00	$7,610.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $106.31 / $257.02	Professional		$52.49	$106.31	$257.02
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 $78.25 / $108.69 / $256.02	Professional		$78.25	$108.69	$256.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.05 / $82.05 / $6,213.00	Facility		$82.05	$82.05	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $82.05 / $166.09	Professional		$82.05	$82.05	$166.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $14,648.00	Facility		$99.75	$99.75	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $125.08 / $259.72	Professional		$58.74	$125.08	$259.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $122.40 / $332.00	Facility		$68.11	$122.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $161.37 / $337.01	Professional		$136.91	$161.37	$337.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $135.09 / $215.26	Professional		$97.84	$135.09	$215.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $717.89 / $834.91	Facility		$147.05	$717.89	$834.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $555.00 / $74,999.25	Facility		$99.75	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $144.90 / $304.06	Professional		$72.17	$144.90	$304.06
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 $79.56 / $136.44 / $297.05	Professional		$79.56	$136.44	$297.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $426.78	Facility		$61.66	$61.66	$426.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $139.83 / $274.37	Professional		$94.80	$139.83	$274.37