Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $3,316.00 / $7,834.69	Facility		$233.30	$3,316.00	$7,834.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $299.39 / $499.44	Professional		$130.96	$299.39	$499.44
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 $214.38 / $278.16 / $744.88	Professional		$214.38	$278.16	$744.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $187.60 / $1,716.00 / $6,213.00	Facility		$187.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.60 / $187.60 / $395.30	Professional		$187.60	$187.60	$395.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.27 / $222.27 / $4,612.43	Facility		$222.27	$222.27	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $329.09 / $807.92	Professional		$138.66	$329.09	$807.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.19 / $216.62 / $346.00	Facility		$146.19	$216.62	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $368.04 / $550.79	Professional		$280.19	$368.04	$550.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $310.83 / $508.58	Professional		$235.89	$310.83	$508.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $3,916.25 / $5,115.88	Facility		$1,464.00	$3,916.25	$5,115.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.27 / $597.00 / $8,498.00	Facility		$222.27	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $375.22 / $854.42	Professional		$158.94	$375.22	$854.42
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 $223.23 / $331.90 / $738.15	Professional		$223.23	$331.90	$738.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $141.44 / $530.53	Facility		$141.44	$141.44	$530.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $222.83 / $332.32 / $549.96	Professional		$222.83	$332.32	$549.96