Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.79 / $2,900.00 / $7,735.00	Facility		$187.79	$2,900.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $216.66 / $475.79	Professional		$162.86	$216.66	$475.79
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 $136.76 / $178.78 / $461.04	Professional		$136.76	$178.78	$461.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.20 / $1,716.00 / $6,213.00	Facility		$197.20	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $197.20 / $279.80	Professional		$197.20	$197.20	$279.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $4,612.43	Facility		$239.88	$239.88	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $303.16 / $698.57	Professional		$153.30	$303.16	$698.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $180.00 / $365.40	Facility		$90.00	$180.00	$365.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $269.57 / $403.42	Professional		$229.55	$269.57	$403.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $239.38 / $364.60	Professional		$148.36	$239.38	$364.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,003.36 / $3,003.36 / $3,003.36	Facility		$3,003.36	$3,003.36	$3,003.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $555.00 / $4,612.43	Facility		$239.88	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $303.20 / $670.46	Professional		$169.64	$303.20	$670.46
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 $158.82 / $239.97 / $555.41	Professional		$158.82	$239.97	$555.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.31 / $188.31 / $459.72	Facility		$188.31	$188.31	$459.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $266.02 / $403.22	Professional		$170.43	$266.02	$403.22