Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.89 / $5,167.00 / $11,161.00	Facility		$317.89	$5,167.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $262.31 / $459.41	Professional		$201.06	$262.31	$459.41
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 $188.45 / $238.94 / $566.20	Professional		$188.45	$238.94	$566.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.76 / $286.76 / $8,917.50	Facility		$286.76	$286.76	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $286.76 / $286.76	Professional		$286.76	$286.76	$286.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $229.84 / $7,227.90	Facility		$229.84	$229.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $411.40 / $750.51	Professional		$167.32	$411.40	$750.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $236.27 / $354.41 / $784.50	Facility		$236.27	$354.41	$784.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $270.87 / $408.75	Professional		$235.13	$270.87	$408.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $233.22 / $399.44	Professional		$163.04	$233.22	$399.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,185.00 / $1,185.88	Facility		$840.00	$1,185.00	$1,185.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $555.00 / $7,227.90	Facility		$229.84	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $388.75 / $785.92	Professional		$169.44	$388.75	$785.92
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 $182.44 / $278.35 / $581.79	Professional		$182.44	$278.35	$581.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.99 / $213.99 / $1,055.00	Facility		$213.99	$213.99	$1,055.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $268.43 / $471.02	Professional		$163.04	$268.43	$471.02