Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.99 / $3,020.00 / $7,773.00	Facility		$235.99	$3,020.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $243.74 / $513.54	Professional		$180.05	$243.74	$513.54
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 $164.27 / $214.74 / $510.41	Professional		$164.27	$214.74	$510.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $259.80 / $1,716.00 / $6,213.00	Facility		$259.80	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $259.80 / $259.80 / $298.48	Professional		$259.80	$259.80	$298.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $316.64 / $4,612.43	Facility		$316.64	$316.64	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $350.20 / $753.26	Professional		$184.37	$350.20	$753.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $196.66 / $332.00 / $605.50	Facility		$196.66	$332.00	$605.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.23 / $290.19 / $434.28	Professional		$245.23	$290.19	$434.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $260.17 / $386.40	Professional		$164.58	$260.17	$386.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.23 / $566.23 / $566.23	Facility		$566.23	$566.23	$566.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $555.00 / $4,612.43	Facility		$316.64	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $353.93 / $747.26	Professional		$207.62	$353.93	$747.26
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 $176.68 / $262.69 / $737.64	Professional		$176.68	$262.69	$737.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.18 / $240.18 / $651.37	Facility		$240.18	$240.18	$651.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $276.00 / $450.81	Professional		$164.58	$276.00	$450.81