Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.88 / $3,060.00 / $7,307.00	Facility		$211.88	$3,060.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $255.82 / $499.02	Professional		$147.44	$255.82	$499.02
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 $217.41 / $275.67 / $640.54	Professional		$217.41	$275.67	$640.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $1,716.00 / $6,213.00	Facility		$185.98	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $185.98 / $397.01	Professional		$185.98	$185.98	$397.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.58 / $226.58 / $4,612.43	Facility		$226.58	$226.58	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $346.32 / $870.99	Professional		$159.31	$346.32	$870.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $225.40 / $346.66	Facility		$154.07	$225.40	$346.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $361.53 / $541.04	Professional		$280.49	$361.53	$541.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $251.99 / $501.73	Professional		$210.34	$251.99	$501.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.49 / $663.49 / $663.49	Facility		$663.49	$663.49	$663.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.58 / $597.00 / $8,498.00	Facility		$226.58	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $385.83 / $908.46	Professional		$184.50	$385.83	$908.46
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 $227.48 / $342.84 / $780.52	Professional		$227.48	$342.84	$780.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $144.07 / $541.91	Facility		$144.07	$144.07	$541.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $308.27 / $548.21	Professional		$210.34	$308.27	$548.21