Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $3,316.00 / $7,969.00	Facility		$120.61	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $120.61 / $233.45	Professional		$77.05	$120.61	$233.45
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 $91.05 / $126.59 / $278.52	Professional		$91.05	$126.59	$278.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $121.27 / $6,213.00	Facility		$121.27	$121.27	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $121.27 / $198.61	Professional		$121.27	$121.27	$198.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $147.53 / $14,648.00	Facility		$147.53	$147.53	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $145.32 / $322.77	Professional		$73.68	$145.32	$322.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $128.02 / $332.00	Facility		$74.00	$128.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $191.25 / $400.73	Professional		$165.00	$191.25	$400.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $131.25 / $261.30	Professional		$105.69	$131.25	$261.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.33 / $154.33	Professional		$154.00	$154.33	$154.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $555.00 / $74,999.25	Facility		$147.53	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $169.59 / $351.65	Professional		$91.42	$169.59	$351.65
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 $87.59 / $156.83 / $349.23	Professional		$87.59	$156.83	$349.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $93.72 / $280.22	Facility		$93.72	$93.72	$280.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $139.72 / $298.54	Professional		$105.69	$139.72	$298.54