Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.07 / $3,060.00 / $9,038.00	Facility		$100.07	$3,060.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $131.33 / $276.43	Professional		$62.32	$131.33	$276.43
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 $136.88 / $175.20 / $366.86	Professional		$136.88	$175.20	$366.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $1,254.00 / $4,050.00	Facility		$97.69	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $97.69 / $223.26	Professional		$97.69	$97.69	$223.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.91 / $116.91 / $3,479.91	Facility		$116.91	$116.91	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $196.01 / $506.59	Professional		$78.29	$196.01	$506.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $81.89 / $332.00	Facility		$35.00	$81.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $195.04 / $296.07	Professional		$154.03	$195.04	$296.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $158.60 / $296.72	Professional		$114.65	$158.60	$296.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.46 / $1,441.46 / $1,441.46	Facility		$1,441.46	$1,441.46	$1,441.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.91 / $555.00 / $3,479.91	Facility		$116.91	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $211.24 / $496.92	Professional		$95.27	$211.24	$496.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $180.42 / $415.92	Professional		$106.55	$180.42	$415.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $253.88	Facility		$72.88	$72.88	$253.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $172.71 / $296.72	Professional		$114.65	$172.71	$296.72