Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $2,842.71 / $7,839.00	Facility		$113.32	$2,842.71	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $346.52 / $996.71	Professional		$72.75	$346.52	$996.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.23 / $429.57 / $1,252.54	Professional		$338.23	$429.57	$1,252.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $117.15 / $8,917.50	Facility		$117.15	$117.15	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $117.15 / $647.12	Professional		$117.15	$117.15	$647.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $138.22 / $14,648.00	Facility		$138.22	$138.22	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $375.77 / $1,545.09	Professional		$96.51	$375.77	$1,545.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.70 / $135.60 / $332.00	Facility		$90.70	$135.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $520.39 / $1,053.58	Professional		$383.90	$520.39	$1,053.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $464.74 / $698.69	Professional		$317.58	$464.74	$698.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.03 / $1,003.03 / $2,435.42	Facility		$1,003.03	$1,003.03	$2,435.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $138.22 / $74,999.25	Facility		$138.22	$138.22	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $560.30 / $1,562.90	Professional		$115.95	$560.30	$1,562.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.06 / $601.95 / $1,361.94	Professional		$331.06	$601.95	$1,361.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $86.78 / $149.61	Facility		$86.78	$86.78	$149.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $482.20 / $759.45	Professional		$255.61	$482.20	$759.45