Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $3,060.00 / $8,020.00	Facility		$177.60	$3,060.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $186.13 / $413.54	Professional		$122.33	$186.13	$413.54
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 $142.52 / $197.25 / $434.62	Professional		$142.52	$197.25	$434.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $192.48 / $1,716.00 / $6,213.00	Facility		$192.48	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $192.48 / $295.60	Professional		$192.48	$192.48	$295.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $14,648.00	Facility		$227.39	$227.39	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $224.92 / $483.77	Professional		$115.87	$224.92	$483.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $203.55 / $347.13	Facility		$127.00	$203.55	$347.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $279.39 / $580.50	Professional		$237.60	$279.39	$580.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $197.47 / $377.05	Professional		$170.44	$197.47	$377.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.54 / $1,505.54 / $1,505.54	Facility		$1,505.54	$1,505.54	$1,505.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $555.00 / $74,999.25	Facility		$227.39	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $257.00 / $547.79	Professional		$139.69	$257.00	$547.79
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 $129.38 / $231.44 / $538.14	Professional		$129.38	$231.44	$538.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $143.97 / $143.97 / $526.30	Facility		$143.97	$143.97	$526.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $219.07 / $433.37	Professional		$143.97	$219.07	$433.37