Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $2,920.00 / $7,773.00	Facility		$197.47	$2,920.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $253.97 / $543.72	Professional		$147.36	$253.97	$543.72
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 $195.72 / $248.17 / $544.16	Professional		$195.72	$248.17	$544.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $1,716.00 / $6,213.00	Facility		$204.81	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $204.81 / $316.06	Professional		$204.81	$204.81	$316.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $247.24 / $4,612.43	Facility		$247.24	$247.24	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $309.76 / $766.91	Professional		$151.99	$309.76	$766.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $177.16 / $371.81	Facility		$85.00	$177.16	$371.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.97 / $298.20 / $446.28	Professional		$252.97	$298.20	$446.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $264.80 / $404.71	Professional		$180.58	$264.80	$404.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.67 / $1,226.67 / $1,226.67	Facility		$1,226.67	$1,226.67	$1,226.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $555.00 / $4,612.43	Facility		$247.24	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $315.62 / $739.17	Professional		$170.13	$315.62	$739.17
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 $179.50 / $272.08 / $610.77	Professional		$179.50	$272.08	$610.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.30 / $194.30 / $486.98	Facility		$194.30	$194.30	$486.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $295.30 / $445.68	Professional		$194.30	$295.30	$445.68