Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.68 / $2,626.00 / $7,307.00	Facility		$161.68	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $153.32 / $304.05	Professional		$113.51	$153.32	$304.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $156.36 / $338.94	Professional		$125.09	$156.36	$338.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $1,254.00 / $4,050.00	Facility		$177.51	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $177.51 / $242.45	Professional		$177.51	$177.51	$242.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.32 / $211.32 / $14,648.00	Facility		$211.32	$211.32	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $204.51 / $442.90	Professional		$111.88	$204.51	$442.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $183.06 / $332.00	Facility		$113.00	$183.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $225.90 / $474.54	Professional		$194.90	$225.90	$474.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $156.05 / $310.41	Professional		$131.11	$156.05	$310.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Professional		$209.52	$209.52	$209.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.32 / $555.00 / $74,999.25	Facility		$211.32	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $218.65 / $488.05	Professional		$130.29	$218.65	$488.05
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 $107.84 / $205.69 / $445.01	Professional		$107.84	$205.69	$445.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $133.59 / $468.81	Facility		$133.59	$133.59	$468.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $166.00 / $393.51	Professional		$131.11	$166.00	$393.51