Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.47 / $3,621.00 / $8,134.00	Facility		$285.47	$3,621.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.27 / $252.14 / $472.85	Professional		$201.27	$252.14	$472.85
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 $147.57 / $190.17 / $518.90	Professional		$147.57	$190.17	$518.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $1,254.00 / $4,050.00	Facility		$294.45	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $294.45 / $294.45	Professional		$294.45	$294.45	$294.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.88 / $234.88 / $3,479.91	Facility		$234.88	$234.88	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $359.69 / $748.37	Professional		$163.11	$359.69	$748.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $249.87 / $538.49	Facility		$100.00	$249.87	$538.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $278.70 / $417.10	Professional		$239.33	$278.70	$417.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $226.59 / $384.64	Professional		$171.52	$226.59	$384.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.16 / $3,501.16 / $3,501.16	Facility		$3,501.16	$3,501.16	$3,501.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $234.88 / $555.00 / $3,479.91	Facility		$234.88	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $357.06 / $818.87	Professional		$202.67	$357.06	$818.87
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 $172.84 / $254.40 / $607.04	Professional		$172.84	$254.40	$607.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $226.59 / $664.05	Facility		$226.59	$226.59	$664.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $260.43 / $492.82	Professional		$173.46	$260.43	$492.82