Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $4,442.00 / $9,254.95	Facility		$266.10	$4,442.00	$9,254.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $255.27 / $537.89	Professional		$198.86	$255.27	$537.89
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 $136.19 / $175.52 / $480.48	Professional		$136.19	$175.52	$480.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $278.05 / $1,716.00 / $6,213.00	Facility		$278.05	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $278.05 / $278.05	Professional		$278.05	$278.05	$278.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $224.28 / $4,612.43	Facility		$224.28	$224.28	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.88 / $340.69 / $772.48	Professional		$190.88	$340.69	$772.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.43 / $294.36 / $512.50	Facility		$226.43	$294.36	$512.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $276.24 / $403.47	Professional		$226.43	$276.24	$403.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $239.40 / $361.49	Professional		$161.30	$239.40	$361.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.32 / $3,011.96 / $5,100.68	Facility		$2,234.32	$3,011.96	$5,100.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $555.00 / $4,612.43	Facility		$224.28	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.68 / $340.69 / $711.06	Professional		$206.68	$340.69	$711.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,097.02 / $7,939.00	Facility		$2,264.00	$4,097.02	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $246.21 / $548.44	Professional		$165.30	$246.21	$548.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $263.76 / $655.41	Facility		$263.76	$263.76	$655.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $263.76 / $418.42	Professional		$162.54	$263.76	$418.42