Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $2,902.00 / $9,868.00	Facility		$103.83	$2,902.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $167.75 / $320.51	Professional		$74.00	$167.75	$320.51
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 $139.63 / $177.80 / $424.89	Professional		$139.63	$177.80	$424.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $1,254.00 / $4,050.00	Facility		$98.89	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $98.89 / $228.28	Professional		$98.89	$98.89	$228.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $117.63 / $3,479.91	Facility		$117.63	$117.63	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $209.17 / $575.00	Professional		$79.70	$209.17	$575.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.94 / $122.00 / $332.00	Facility		$77.94	$122.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $216.59 / $453.99	Professional		$165.42	$216.59	$453.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $176.33 / $321.58	Professional		$135.41	$176.33	$321.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.71 / $1,653.71 / $1,653.71	Facility		$1,653.71	$1,653.71	$1,653.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $555.00 / $3,479.91	Facility		$117.63	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $235.13 / $572.72	Professional		$95.60	$235.13	$572.72
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 $145.62 / $212.90 / $430.47	Professional		$145.62	$212.90	$430.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $75.06 / $271.73	Facility		$75.06	$75.06	$271.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $178.46 / $326.44	Professional		$132.27	$178.46	$326.44