Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.82 / $2,626.00 / $7,343.00	Facility		$315.82	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.09 / $309.49 / $655.91	Professional		$238.09	$309.49	$655.91
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 $261.52 / $317.64 / $675.56	Professional		$261.52	$317.64	$675.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $383.92 / $383.92 / $4,050.00	Facility		$383.92	$383.92	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $383.92 / $383.92 / $481.79	Professional		$383.92	$383.92	$481.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.89 / $465.89 / $465.89	Facility		$465.89	$465.89	$465.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $408.28 / $904.85	Professional		$212.46	$408.28	$904.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $332.00 / $719.26	Facility		$268.00	$332.00	$719.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.52 / $470.03 / $986.12	Professional		$405.52	$470.03	$986.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.94 / $323.47 / $640.16	Professional		$281.94	$323.47	$640.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.43 / $511.43 / $511.43	Facility		$511.43	$511.43	$511.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $465.89 / $555.00 / $74,999.25	Facility		$465.89	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $434.95 / $957.03	Professional		$258.85	$434.95	$957.03
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 $227.11 / $399.24 / $860.34	Professional		$227.11	$399.24	$860.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $297.89 / $1,134.34	Facility		$297.89	$297.89	$1,134.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $291.37 / $371.93 / $877.50	Professional		$291.37	$371.93	$877.50