Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $2,626.00 / $8,134.00	Facility		$156.91	$2,626.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $215.18 / $428.43	Professional		$123.75	$215.18	$428.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $220.50 / $519.95	Professional		$168.68	$220.50	$519.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $170.94 / $4,050.00	Facility		$170.94	$170.94	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $170.94 / $298.89	Professional		$170.94	$170.94	$298.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.81 / $199.81 / $14,648.00	Facility		$199.81	$199.81	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $285.05 / $720.83	Professional		$133.49	$285.05	$720.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $147.11 / $332.00	Facility		$35.00	$147.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.54 / $274.02 / $410.09	Professional		$225.54	$274.02	$410.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $241.52 / $374.84	Professional		$160.85	$241.52	$374.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.76 / $1,138.76 / $1,138.76	Facility		$1,138.76	$1,138.76	$1,138.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.81 / $199.81 / $74,999.25	Facility		$199.81	$199.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $299.67 / $720.83	Professional		$143.38	$299.67	$720.83
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 $167.23 / $257.11 / $580.53	Professional		$167.23	$257.11	$580.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $142.80 / $471.78	Facility		$142.80	$142.80	$471.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $251.17 / $405.34	Professional		$160.85	$251.17	$405.34