Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $2,159.00 / $7,095.00	Facility		$109.51	$2,159.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $126.75 / $278.44	Professional		$67.44	$126.75	$278.44
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 $96.14 / $133.54 / $305.99	Professional		$96.14	$133.54	$305.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.53 / $105.53 / $6,213.00	Facility		$105.53	$105.53	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $105.53 / $202.93	Professional		$105.53	$105.53	$202.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $14,648.00	Facility		$128.01	$128.01	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $158.13 / $319.51	Professional		$75.37	$158.13	$319.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $145.19 / $332.00	Facility		$87.37	$145.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $192.45 / $408.54	Professional		$166.03	$192.45	$408.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $164.00 / $262.85	Professional		$115.76	$164.00	$262.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.25 / $822.25 / $822.25	Facility		$822.25	$822.25	$822.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $555.00 / $74,999.25	Facility		$128.01	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $175.84 / $368.69	Professional		$92.90	$175.84	$368.69
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 $96.50 / $169.02 / $385.85	Professional		$96.50	$169.02	$385.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $79.73 / $516.48	Facility		$79.73	$79.73	$516.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $164.00 / $335.03	Professional		$115.76	$164.00	$335.03