Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $2,626.00 / $7,307.00	Facility		$41.95	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $99.51 / $196.72	Professional		$30.57	$99.51	$196.72
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 $80.31 / $104.14 / $268.12	Professional		$80.31	$104.14	$268.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $4,050.00	Facility		$39.92	$39.92	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $39.92 / $144.47	Professional		$39.92	$39.92	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $14,648.00	Facility		$49.85	$49.85	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $111.21 / $361.16	Professional		$34.11	$111.21	$361.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $51.53 / $332.00	Facility		$32.15	$51.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $134.31 / $201.37	Professional		$104.76	$134.31	$201.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $100.87 / $184.17	Professional		$86.09	$100.87	$184.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.52 / $837.52 / $837.52	Facility		$837.52	$837.52	$837.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $74,999.25	Facility		$49.85	$49.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $126.27 / $361.16	Professional		$40.44	$126.27	$361.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $122.90 / $284.26	Professional		$80.77	$122.90	$284.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $129.83	Facility		$35.35	$35.35	$129.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $101.28 / $199.16	Professional		$80.69	$101.28	$199.16