Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $4,507.43 / $10,140.00	Facility		$160.41	$4,507.43	$10,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $140.02 / $304.94	Professional		$99.75	$140.02	$304.94
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 $105.76 / $138.25 / $296.76	Professional		$105.76	$138.25	$296.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.99 / $2,390.00 / $10,957.50	Facility		$164.99	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $164.99 / $164.99	Professional		$164.99	$164.99	$164.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.84 / $133.84 / $6,511.02	Facility		$133.84	$133.84	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $213.38 / $495.00	Professional		$90.88	$213.38	$495.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $183.32 / $7,533.00	Facility		$100.00	$183.32	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $161.10 / $241.09	Professional		$137.77	$161.10	$241.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $527.72 / $644.38	Professional		$101.43	$527.72	$644.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.08 / $2,382.50 / $7,215.51	Facility		$738.08	$2,382.50	$7,215.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.84 / $555.00 / $6,511.02	Facility		$133.84	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $212.74 / $462.16	Professional		$100.00	$212.74	$462.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $145.30 / $364.41	Professional		$99.50	$145.30	$364.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.24 / $129.24 / $381.53	Facility		$129.24	$129.24	$381.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $334.42 / $644.38	Professional		$101.43	$334.42	$644.38