Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.59 / $2,220.00 / $7,307.00	Facility		$195.59	$2,220.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $260.89 / $522.79	Professional		$158.29	$260.89	$522.79
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 $240.40 / $314.12 / $574.86	Professional		$240.40	$314.12	$574.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.24 / $1,254.00 / $4,050.00	Facility		$204.24	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $204.24 / $346.52	Professional		$204.24	$204.24	$346.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.14 / $240.14 / $4,612.43	Facility		$240.14	$240.14	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $322.20 / $800.01	Professional		$159.77	$322.20	$800.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $237.44 / $366.76	Facility		$158.29	$237.44	$366.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $318.20 / $476.21	Professional		$257.08	$318.20	$476.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $285.27 / $431.92	Professional		$194.25	$285.27	$431.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.17 / $3,985.49 / $7,352.10	Facility		$2,137.17	$3,985.49	$7,352.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.14 / $555.00 / $4,612.43	Facility		$240.14	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $334.99 / $811.00	Professional		$180.56	$334.99	$811.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.03 / $289.47 / $807.68	Professional		$194.03	$289.47	$807.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.13 / $183.13 / $850.25	Facility		$183.13	$183.13	$850.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $297.08 / $479.42	Professional		$183.13	$297.08	$479.42