Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.80 / $3,100.00 / $7,969.00	Facility		$186.80	$3,100.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $182.30 / $383.15	Professional		$124.87	$182.30	$383.15
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 $143.21 / $186.69 / $409.49	Professional		$143.21	$186.69	$409.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $191.64 / $191.64 / $6,213.00	Facility		$191.64	$191.64	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $191.64 / $290.95	Professional		$191.64	$191.64	$290.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $230.81 / $14,648.00	Facility		$230.81	$230.81	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $223.67 / $474.54	Professional		$122.76	$223.67	$474.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $208.00 / $350.15	Facility		$132.00	$208.00	$350.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $278.13 / $581.88	Professional		$239.95	$278.13	$581.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $191.68 / $381.78	Professional		$154.72	$191.68	$381.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $226.06 / $273.54	Professional		$224.82	$226.06	$273.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $555.00 / $74,999.25	Facility		$230.81	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $251.35 / $530.08	Professional		$140.72	$251.35	$530.08
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 $135.72 / $235.91 / $527.72	Professional		$135.72	$235.91	$527.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $146.72 / $465.19	Facility		$146.72	$146.72	$465.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $221.82 / $436.19	Professional		$146.72	$221.82	$436.19