Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.16 / $3,316.00 / $7,969.00	Facility		$168.16	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $175.63 / $341.06	Professional		$111.89	$175.63	$341.06
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 $127.12 / $175.94 / $384.11	Professional		$127.12	$175.94	$384.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $170.95 / $4,050.00	Facility		$170.95	$170.95	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $170.95 / $272.64	Professional		$170.95	$170.95	$272.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $206.47 / $14,648.00	Facility		$206.47	$206.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $200.25 / $432.49	Professional		$109.10	$200.25	$432.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $181.14 / $332.00	Facility		$114.00	$181.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $261.20 / $546.46	Professional		$225.36	$261.20	$546.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $179.81 / $358.22	Professional		$144.02	$179.81	$358.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $210.68 / $256.10	Professional		$181.05	$210.68	$256.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $555.00 / $74,999.25	Facility		$206.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $235.16 / $483.97	Professional		$128.33	$235.16	$483.97
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 $127.30 / $223.57 / $483.66	Professional		$127.30	$223.57	$483.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.61 / $131.61 / $408.37	Facility		$131.61	$131.61	$408.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $191.56 / $409.26	Professional		$134.10	$191.56	$409.26