Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $2,842.00 / $7,521.00	Facility		$229.81	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.95 / $283.39 / $552.54	Professional		$178.95	$283.39	$552.54
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 $235.88 / $299.08 / $659.33	Professional		$235.88	$299.08	$659.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $241.27 / $241.27 / $4,050.00	Facility		$241.27	$241.27	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $241.27 / $381.17	Professional		$241.27	$241.27	$381.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.54 / $269.54 / $3,479.91	Facility		$269.54	$269.54	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $382.01 / $895.88	Professional		$172.46	$382.01	$895.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $199.84 / $428.65	Facility		$35.00	$199.84	$428.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.76 / $341.29 / $510.75	Professional		$293.76	$341.29	$510.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.77 / $309.19 / $479.86	Professional		$206.77	$309.19	$479.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,738.50 / $1,738.50 / $1,738.50	Facility		$1,738.50	$1,738.50	$1,738.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.54 / $555.00 / $3,479.91	Facility		$269.54	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $384.85 / $895.88	Professional		$197.42	$384.85	$895.88
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 $208.81 / $327.80 / $735.21	Professional		$208.81	$327.80	$735.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.41 / $199.41 / $458.57	Facility		$199.41	$199.41	$458.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $312.50 / $518.90	Professional		$199.41	$312.50	$518.90