Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $2,920.00 / $7,563.00	Facility		$68.38	$2,920.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $69.05 / $137.24	Professional		$46.10	$69.05	$137.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $71.48 / $162.90	Professional		$51.25	$71.48	$162.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $70.75 / $6,213.00	Facility		$70.75	$70.75	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $70.75 / $108.95	Professional		$70.75	$70.75	$108.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $83.79 / $14,648.00	Facility		$83.79	$83.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $85.71 / $176.12	Professional		$45.28	$85.71	$176.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $76.40 / $332.00	Facility		$50.00	$76.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $108.77 / $227.19	Professional		$93.84	$108.77	$227.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $75.16 / $147.91	Professional		$60.13	$75.16	$147.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $82.01 / $93.68	Professional		$82.01	$82.01	$93.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $555.00 / $74,999.25	Facility		$83.79	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $95.86 / $206.31	Professional		$51.66	$95.86	$206.31
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 $52.90 / $92.24 / $196.13	Professional		$52.90	$92.24	$196.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $154.37	Facility		$53.35	$53.35	$154.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $85.94 / $169.00	Professional		$60.13	$85.94	$169.00