Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.59 / $3,016.00 / $7,307.00	Facility		$194.59	$3,016.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $282.04 / $630.94	Professional		$143.38	$282.04	$630.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $326.88 / $799.42	Professional		$257.37	$326.88	$799.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $1,254.00 / $4,050.00	Facility		$190.45	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $190.45 / $524.19	Professional		$190.45	$190.45	$524.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $3,479.91	Facility		$225.57	$225.57	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $423.65 / $1,110.31	Professional		$147.57	$423.65	$1,110.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $164.00 / $344.03	Facility		$80.00	$164.00	$344.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.33 / $503.56 / $756.06	Professional		$393.33	$503.56	$756.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $347.28 / $686.60	Professional		$228.16	$347.28	$686.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.55 / $425.55 / $425.55	Facility		$425.55	$425.55	$425.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $555.00 / $3,479.91	Facility		$225.57	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $459.48 / $1,118.42	Professional		$174.25	$459.48	$1,118.42
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 $288.33 / $428.13 / $985.11	Professional		$288.33	$428.13	$985.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $142.93 / $425.11	Facility		$142.93	$142.93	$425.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $378.56 / $686.60	Professional		$228.16	$378.56	$686.60