Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $2,974.00 / $7,307.00	Facility		$72.97	$2,974.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $95.34 / $167.72	Professional		$60.43	$95.34	$167.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $75.61 / $199.84	Professional		$57.84	$75.61	$199.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.37 / $75.37 / $4,050.00	Facility		$75.37	$75.37	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $75.37 / $120.25	Professional		$75.37	$75.37	$120.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $90.97 / $3,479.91	Facility		$90.97	$90.97	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $123.70 / $300.00	Professional		$61.55	$123.70	$300.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $69.75 / $332.00	Facility		$35.00	$69.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $116.30 / $174.06	Professional		$98.04	$116.30	$174.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $104.27 / $155.54	Professional		$69.65	$104.27	$155.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.23 / $476.23 / $476.23	Facility		$476.23	$476.23	$476.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $555.00 / $3,479.91	Facility		$90.97	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $125.18 / $297.00	Professional		$64.81	$125.18	$297.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $101.41 / $258.72	Professional		$71.50	$101.41	$258.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $184.82	Facility		$68.45	$68.45	$184.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $111.10 / $172.65	Professional		$69.65	$111.10	$172.65