Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $2,660.00 / $7,307.00	Facility		$87.47	$2,660.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $155.55 / $302.36	Professional		$60.78	$155.55	$302.36
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 $134.40 / $174.29 / $397.76	Professional		$134.40	$174.29	$397.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.90 / $97.90 / $6,213.00	Facility		$97.90	$97.90	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $236.84	Professional		$97.90	$97.90	$236.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $113.91 / $3,479.91	Facility		$113.91	$113.91	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $209.49 / $588.46	Professional		$69.73	$209.49	$588.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $112.80 / $332.00	Facility		$70.11	$112.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $211.95 / $445.27	Professional		$162.24	$211.95	$445.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $159.97 / $309.41	Professional		$132.41	$159.97	$309.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,614.28 / $3,666.90 / $4,786.04	Facility		$2,614.28	$3,666.90	$4,786.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $555.00 / $3,479.91	Facility		$113.91	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $231.97 / $588.46	Professional		$85.67	$231.97	$588.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $211.03 / $462.37	Professional		$151.46	$211.03	$462.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $71.73 / $214.68	Facility		$71.73	$71.73	$214.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $170.55 / $315.56	Professional		$108.68	$170.55	$315.56