Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.81 / $2,626.00 / $7,521.00	Facility		$283.81	$2,626.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $322.11 / $605.04	Professional		$214.07	$322.11	$605.04
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 $238.33 / $311.55 / $735.94	Professional		$238.33	$311.55	$735.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $285.69 / $1,254.00 / $4,050.00	Facility		$285.69	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $285.69 / $391.68	Professional		$285.69	$285.69	$391.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $3,479.91	Facility		$338.84	$338.84	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.26 / $455.44 / $982.31	Professional		$203.26	$455.44	$982.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $247.91 / $522.61	Facility		$35.00	$247.91	$522.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $368.65 / $551.70	Professional		$312.62	$368.65	$551.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $323.80 / $502.53	Professional		$234.90	$323.80	$502.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,428.44 / $2,428.44 / $2,428.44	Facility		$2,428.44	$2,428.44	$2,428.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $555.00 / $3,479.91	Facility		$338.84	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.37 / $455.47 / $996.01	Professional		$216.37	$455.47	$996.01
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 $232.70 / $347.98 / $791.74	Professional		$232.70	$347.98	$791.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.48 / $240.48 / $699.81	Facility		$240.48	$240.48	$699.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $336.74 / $571.17	Professional		$240.48	$336.74	$571.17