Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.88 / $2,892.00 / $9,254.95	Facility		$235.88	$2,892.00	$9,254.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $350.25 / $801.78	Professional		$179.24	$350.25	$801.78
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 $247.92 / $324.08 / $779.76	Professional		$247.92	$324.08	$779.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $237.67 / $6,213.00	Facility		$237.67	$237.67	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $237.67 / $548.01	Professional		$237.67	$237.67	$548.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $287.39 / $7,289.38	Facility		$287.39	$287.39	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $447.37 / $1,206.73	Professional		$194.65	$447.37	$1,206.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $250.00 / $430.47	Facility		$176.00	$250.00	$430.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.34 / $491.67 / $735.80	Professional		$379.34	$491.67	$735.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $440.80 / $698.44	Professional		$250.52	$440.80	$698.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,148.59 / $3,337.34 / $6,595.06	Facility		$2,148.59	$3,337.34	$6,595.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $597.00 / $8,498.00	Facility		$287.39	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $486.02 / $1,123.63	Professional		$225.00	$486.02	$1,123.63
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 $301.30 / $442.58 / $1,003.45	Professional		$301.30	$442.58	$1,003.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $216.14 / $216.14 / $518.87	Facility		$216.14	$216.14	$518.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $480.40 / $698.44	Professional		$250.52	$480.40	$698.44