Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $2,865.00 / $7,307.00	Facility		$132.72	$2,865.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $181.87 / $361.57	Professional		$98.39	$181.87	$361.57
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 $151.15 / $191.66 / $473.12	Professional		$151.15	$191.66	$473.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $122.32 / $4,050.00	Facility		$122.32	$122.32	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $122.32 / $239.29	Professional		$122.32	$122.32	$239.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.46 / $150.46 / $14,648.00	Facility		$150.46	$150.46	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $246.64 / $627.20	Professional		$104.39	$246.64	$627.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $110.01 / $332.00	Facility		$45.00	$110.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $225.97 / $338.17	Professional		$174.98	$225.97	$338.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $202.44 / $314.19	Professional		$143.85	$202.44	$314.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $709.42 / $1,505.60 / $1,652.47	Facility		$709.42	$1,505.60	$1,652.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.46 / $150.46 / $74,999.25	Facility		$150.46	$150.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $250.32 / $630.33	Professional		$107.55	$250.32	$630.33
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 $133.19 / $195.86 / $453.48	Professional		$133.19	$195.86	$453.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $107.28 / $389.34	Facility		$107.28	$107.28	$389.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $209.30 / $339.75	Professional		$137.66	$209.30	$339.75