Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.87 / $2,892.00 / $7,839.00	Facility		$278.87	$2,892.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $309.33 / $622.13	Professional		$193.02	$309.33	$622.13
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 $225.74 / $294.73 / $732.90	Professional		$225.74	$294.73	$732.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $306.05 / $1,716.00 / $6,213.00	Facility		$306.05	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $306.05 / $306.05 / $550.98	Professional		$306.05	$306.05	$550.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.78 / $372.78 / $372.78	Facility		$372.78	$372.78	$372.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $395.35 / $891.81	Professional		$189.19	$395.35	$891.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $275.20 / $571.03	Facility		$175.00	$275.20	$571.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.10 / $514.76 / $1,084.21	Professional		$444.10	$514.76	$1,084.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $354.47 / $705.96	Professional		$267.52	$354.47	$705.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $449.42 / $449.42	Professional		$379.44	$449.42	$449.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $372.78 / $555.00 / $74,999.25	Facility		$372.78	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $452.03 / $981.20	Professional		$253.51	$452.03	$981.20
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 $246.37 / $438.77 / $965.79	Professional		$246.37	$438.77	$965.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $235.88 / $235.88 / $741.12	Facility		$235.88	$235.88	$741.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $410.16 / $806.57	Professional		$267.52	$410.16	$806.57