Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $2,902.00 / $9,267.00	Facility		$127.46	$2,902.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $146.43 / $232.85	Professional		$93.14	$146.43	$232.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $146.88 / $321.24	Professional		$115.42	$146.88	$321.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $123.94 / $16,534.50	Facility		$123.94	$123.94	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $123.94 / $203.68	Professional		$123.94	$123.94	$203.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $149.88 / $39,142.00	Facility		$149.88	$149.88	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $173.99 / $390.26	Professional		$82.66	$173.99	$390.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $146.88 / $332.00	Facility		$92.03	$146.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $193.50 / $278.95	Professional		$161.05	$193.50	$278.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $189.93 / $250.95	Professional		$110.47	$189.93	$250.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $175.20 / $175.20	Professional		$151.50	$175.20	$175.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $555.00 / $74,999.25	Facility		$149.88	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $181.92 / $392.11	Professional		$103.16	$181.92	$392.11
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 $145.13 / $197.86 / $449.50	Professional		$145.13	$197.86	$449.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.02 / $109.02 / $140.01	Facility		$109.02	$109.02	$140.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $197.15 / $271.37	Professional		$109.95	$197.15	$271.37