Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.56 / $2,842.00 / $10,965.00	Facility		$207.56	$2,842.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $483.11 / $925.13	Professional		$155.51	$483.11	$925.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $511.29 / $1,372.76	Professional		$374.64	$511.29	$1,372.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $3,448.50 / $15,193.50	Facility		$202.82	$3,448.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $707.48	Professional		$202.82	$202.82	$707.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.82 / $18,711.00 / $19,581.00	Facility		$246.82	$18,711.00	$19,581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $440.71 / $1,327.96	Professional		$143.84	$440.71	$1,327.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $248.96 / $824.87	Facility		$152.83	$248.96	$824.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $568.67 / $854.55	Professional		$417.13	$568.67	$854.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $552.02 / $747.43	Professional		$266.85	$552.02	$747.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.94 / $647.94 / $776.42	Professional		$647.94	$647.94	$776.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $246.82 / $18,711.00 / $74,999.25	Facility		$246.82	$18,711.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $565.82 / $1,378.82	Professional		$171.84	$565.82	$1,378.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,877.00	Facility		$1,079.00	$2,826.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.69 / $727.77 / $1,699.13	Professional		$480.69	$727.77	$1,699.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $179.76 / $179.76 / $265.67	Facility		$179.76	$179.76	$265.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $465.99 / $799.66	Professional		$266.85	$465.99	$799.66