Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $2,900.00 / $7,307.00	Facility		$97.47	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $136.31 / $267.99	Professional		$70.22	$136.31	$267.99
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 $125.55 / $159.63 / $351.59	Professional		$125.55	$159.63	$351.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.90 / $93.90 / $6,213.00	Facility		$93.90	$93.90	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $93.90 / $204.67	Professional		$93.90	$93.90	$204.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $115.74 / $3,479.91	Facility		$115.74	$115.74	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $181.10 / $473.09	Professional		$74.27	$181.10	$473.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $83.84 / $332.00	Facility		$40.00	$83.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $186.09 / $278.50	Professional		$144.32	$186.09	$278.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $152.24 / $258.43	Professional		$113.07	$152.24	$258.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.44 / $2,429.44 / $2,429.44	Facility		$2,429.44	$2,429.44	$2,429.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $555.00 / $3,479.91	Facility		$115.74	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $196.26 / $473.09	Professional		$83.16	$196.26	$473.09
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 $111.61 / $173.60 / $393.22	Professional		$111.61	$173.60	$393.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $74.34 / $234.77	Facility		$74.34	$74.34	$234.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $174.68 / $282.37	Professional		$113.07	$174.68	$282.37