Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.82 / $2,952.00 / $7,307.00	Facility		$220.82	$2,952.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $251.97 / $474.11	Professional		$173.40	$251.97	$474.11
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 $195.12 / $250.89 / $522.50	Professional		$195.12	$250.89	$522.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.36 / $1,254.00 / $4,050.00	Facility		$239.36	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $239.36 / $314.32	Professional		$239.36	$239.36	$314.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $293.74 / $3,479.91	Facility		$293.74	$293.74	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $343.39 / $787.82	Professional		$184.34	$343.39	$787.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $270.00 / $449.96	Facility		$180.00	$270.00	$449.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.11 / $315.48 / $456.35	Professional		$263.11	$315.48	$456.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $253.55 / $408.81	Professional		$168.24	$253.55	$408.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.75 / $3,151.75 / $3,151.75	Facility		$3,151.75	$3,151.75	$3,151.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $555.00 / $3,479.91	Facility		$293.74	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $356.84 / $784.57	Professional		$202.33	$356.84	$784.57
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 $182.96 / $271.35 / $607.66	Professional		$182.96	$271.35	$607.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $230.23 / $230.23 / $570.90	Facility		$230.23	$230.23	$570.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $270.79 / $452.12	Professional		$168.24	$270.79	$452.12