Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.53 / $3,419.00 / $7,839.00	Facility		$120.53	$3,419.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $123.57 / $258.41	Professional		$73.20	$123.57	$258.41
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 $89.95 / $144.28 / $298.55	Professional		$89.95	$144.28	$298.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $1,254.00 / $6,213.00	Facility		$118.12	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $118.12 / $218.38	Professional		$118.12	$118.12	$218.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $142.97 / $142.97	Facility		$142.97	$142.97	$142.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $155.25 / $328.88	Professional		$80.69	$155.25	$328.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $109.70 / $332.00	Facility		$55.00	$109.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $207.06 / $435.81	Professional		$178.64	$207.06	$435.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $141.90 / $284.13	Professional		$93.31	$141.90	$284.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,978.66 / $3,147.79 / $7,412.00	Facility		$1,978.66	$3,147.79	$7,412.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $555.00 / $74,999.25	Facility		$142.97	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $176.43 / $375.58	Professional		$92.67	$176.43	$375.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $183.88 / $386.29	Professional		$101.11	$183.88	$386.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $89.63 / $178.02	Facility		$89.63	$89.63	$178.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $165.08 / $324.62	Professional		$93.31	$165.08	$324.62