Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,090.30 / $9,332.54	Facility		$281.84	$3,090.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $831.76	Professional		$204.17	$309.03	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $676.08	Professional		$229.09	$288.40	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,698.24 / $6,165.95	Facility		$281.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $371.54	Professional		$281.84	$281.84	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,659.59 / $50,118.72	Facility		$338.84	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $954.99	Professional		$223.87	$416.87	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $707.95	Facility		$213.80	$354.81	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $537.03	Professional		$281.84	$371.54	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $549.54	Professional		$229.09	$371.54	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,918.31	Facility		$4,265.80	$5,370.32	$6,918.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $562.34	Professional		$316.23	$380.19	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $660.69	Professional		$162.18	$257.04	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $660.69	Facility		$162.18	$269.15	$660.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $691.83	Professional		$208.93	$346.74	$691.83