Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.30 / $3,259.30 / $8,907.44	Facility		$188.30	$3,259.30	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $280.18 / $552.02	Professional		$143.65	$280.18	$552.02
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 $226.98 / $288.52 / $703.42	Professional		$226.98	$288.52	$703.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.93 / $1,716.00 / $6,213.00	Facility		$185.93	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $185.93 / $437.07	Professional		$185.93	$185.93	$437.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.71 / $225.71 / $4,612.43	Facility		$225.71	$225.71	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $335.20 / $875.71	Professional		$141.19	$335.20	$875.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $250.00 / $8,640.00	Facility		$156.69	$250.00	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $381.50 / $597.75	Professional		$293.98	$381.50	$597.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $342.04 / $546.96	Professional		$245.99	$342.04	$546.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.69 / $2,546.50 / $4,697.17	Facility		$884.69	$2,546.50	$4,697.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.71 / $597.00 / $8,498.00	Facility		$225.71	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $379.55 / $875.71	Professional		$163.40	$379.55	$875.71
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 $253.04 / $361.20 / $991.76	Professional		$253.04	$361.20	$991.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.06 / $171.06 / $462.10	Facility		$171.06	$171.06	$462.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $390.68 / $607.11	Professional		$245.99	$390.68	$607.11