Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $3,783.00 / $7,839.00	Facility		$58.21	$3,783.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $42.49 / $86.47	Professional		$39.27	$42.49	$86.47
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 $33.71 / $44.07 / $104.04	Professional		$33.71	$44.07	$104.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $4,050.00	Facility		$65.34	$65.34	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Professional		$65.34	$65.34	$65.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $51.02 / $14,648.00	Facility		$51.02	$51.02	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $62.87 / $146.37	Professional		$31.29	$62.87	$146.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $68.04 / $332.00	Facility		$41.00	$68.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $59.49 / $125.62	Professional		$51.26	$59.49	$125.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $42.90 / $81.95	Professional		$37.20	$42.90	$81.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.68 / $987.68 / $987.68	Facility		$987.68	$987.68	$987.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $555.00 / $74,999.25	Facility		$51.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $62.87 / $148.22	Professional		$42.00	$62.87	$148.22
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 $31.43 / $54.42 / $118.51	Professional		$31.43	$54.42	$118.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $47.61 / $176.13	Facility		$47.61	$47.61	$176.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $47.61 / $140.25	Professional		$38.01	$47.61	$140.25