Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $3,000.00 / $7,969.00	Facility		$131.55	$3,000.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $129.01 / $251.60	Professional		$86.26	$129.01	$251.60
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 $100.00 / $139.13 / $297.70	Professional		$100.00	$139.13	$297.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $132.96 / $6,213.00	Facility		$132.96	$132.96	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $132.96 / $211.26	Professional		$132.96	$132.96	$211.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $162.78 / $14,648.00	Facility		$162.78	$162.78	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $157.38 / $336.85	Professional		$80.31	$157.38	$336.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $144.35 / $332.00	Facility		$84.00	$144.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $203.86 / $427.66	Professional		$175.88	$203.86	$427.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $139.88 / $277.97	Professional		$112.76	$139.88	$277.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $138.78 / $138.78	Professional		$138.78	$138.78	$138.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $555.00 / $74,999.25	Facility		$162.78	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $182.17 / $372.82	Professional		$99.72	$182.17	$372.82
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 $90.85 / $171.27 / $374.36	Professional		$90.85	$171.27	$374.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.06 / $103.06 / $309.77	Facility		$103.06	$103.06	$309.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $161.50 / $317.58	Professional		$112.76	$161.50	$317.58