Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $3,316.00 / $7,969.00	Facility		$176.55	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $175.55 / $315.10	Professional		$116.79	$175.55	$315.10
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 $137.78 / $188.01 / $411.43	Professional		$137.78	$188.01	$411.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.03 / $183.03 / $6,213.00	Facility		$183.03	$183.03	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $183.03 / $292.36	Professional		$183.03	$183.03	$292.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $221.72 / $14,648.00	Facility		$221.72	$221.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $217.06 / $464.35	Professional		$116.59	$217.06	$464.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $194.81 / $337.16	Facility		$122.00	$194.81	$337.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.13 / $280.64 / $587.76	Professional		$242.13	$280.64	$587.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $193.05 / $384.04	Professional		$154.44	$193.05	$384.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.25 / $211.25 / $225.92	Professional		$211.25	$211.25	$225.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $555.00 / $74,999.25	Facility		$221.72	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $251.43 / $527.29	Professional		$137.13	$251.43	$527.29
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 $129.57 / $232.51 / $496.15	Professional		$129.57	$232.51	$496.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $140.59 / $434.93	Facility		$140.59	$140.59	$434.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $223.12 / $438.76	Professional		$143.76	$223.12	$438.76