Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.43 / $3,317.00 / $7,839.00	Facility		$104.43	$3,317.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $97.29 / $190.32	Professional		$67.62	$97.29	$190.32
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 $62.84 / $82.15 / $194.15	Professional		$62.84	$82.15	$194.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $1,254.00 / $4,050.00	Facility		$108.05	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $108.05 / $108.05	Professional		$108.05	$108.05	$108.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $87.41 / $3,479.91	Facility		$87.41	$87.41	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $144.19 / $423.76	Professional		$77.66	$144.19	$423.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $133.46 / $332.00	Facility		$85.00	$133.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $106.14 / $158.84	Professional		$88.97	$106.14	$158.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $85.00 / $139.99	Professional		$64.73	$85.00	$139.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,595.06 / $6,595.06 / $6,595.06	Facility		$6,595.06	$6,595.06	$6,595.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $555.00 / $3,479.91	Facility		$87.41	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $136.36 / $316.49	Professional		$79.79	$136.36	$316.49
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 $68.70 / $97.41 / $241.95	Professional		$68.70	$97.41	$241.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $295.48	Facility		$100.00	$100.00	$295.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $96.29 / $163.33	Professional		$65.18	$96.29	$163.33