Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.63 / $3,347.00 / $7,735.00	Facility		$286.63	$3,347.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $256.44 / $524.11	Professional		$185.62	$256.44	$524.11
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 $154.03 / $198.50 / $508.32	Professional		$154.03	$198.50	$508.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.27 / $1,716.00 / $6,213.00	Facility		$295.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $295.27 / $295.27	Professional		$295.27	$295.27	$295.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.83 / $237.83 / $4,612.43	Facility		$237.83	$237.83	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $363.99 / $814.42	Professional		$203.52	$363.99	$814.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $308.00 / $534.16	Facility		$225.00	$308.00	$534.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.41 / $282.89 / $423.37	Professional		$237.41	$282.89	$423.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $228.95 / $377.08	Professional		$163.96	$228.95	$377.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.71 / $3,026.45 / $3,985.49	Facility		$2,089.71	$3,026.45	$3,985.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $237.83 / $597.00 / $8,498.00	Facility		$237.83	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $363.99 / $762.72	Professional		$221.37	$363.99	$762.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,612.00 / $7,203.00	Facility		$2,066.00	$3,612.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $255.73 / $659.02	Professional		$171.04	$255.73	$659.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.35 / $269.35 / $731.35	Facility		$269.35	$269.35	$731.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $259.36 / $439.94	Professional		$163.96	$259.36	$439.94