Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.24 / $3,419.00 / $8,442.00	Facility		$369.24	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $318.86 / $563.91	Professional		$257.02	$318.86	$563.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $280.26 / $759.31	Professional		$214.39	$280.26	$759.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $369.93 / $1,716.00 / $6,213.00	Facility		$369.93	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $369.93 / $369.93 / $369.93	Professional		$369.93	$369.93	$369.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.27 / $293.27 / $4,612.43	Facility		$293.27	$293.27	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $488.72 / $1,040.45	Professional		$252.68	$488.72	$1,040.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $267.66 / $434.39 / $740.80	Facility		$267.66	$434.39	$740.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.43 / $381.16 / $536.21	Professional		$294.43	$381.16	$536.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $405.52 / $684.86	Professional		$209.03	$405.52	$684.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,098.99 / $3,098.99 / $3,098.99	Facility		$3,098.99	$3,098.99	$3,098.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.27 / $597.00 / $8,498.00	Facility		$293.27	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $452.66 / $1,148.01	Professional		$275.56	$452.66	$1,148.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $14,480.82	Facility		$2,705.00	$7,395.00	$14,480.82
United Facility/Professional Professional Modifier Low / Median / High Price $232.83 / $329.38 / $964.90	Professional		$232.83	$329.38	$964.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $330.79 / $330.79 / $958.11	Facility		$330.79	$330.79	$958.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $396.68 / $684.86	Professional		$239.57	$396.68	$684.86