Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.84 / $2,836.00 / $9,038.00	Facility		$108.84	$2,836.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $125.71 / $281.70	Professional		$89.18	$125.71	$281.70
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 $101.68 / $128.93 / $270.20	Professional		$101.68	$128.93	$270.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $4,050.00	Facility		$120.06	$120.06	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $161.12	Professional		$120.06	$120.06	$161.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $148.34 / $3,479.91	Facility		$148.34	$148.34	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $181.94 / $407.31	Professional		$95.42	$181.94	$407.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.75 / $332.00	Facility		$75.00	$129.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $159.13 / $238.16	Professional		$136.40	$159.13	$238.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $141.32 / $214.09	Professional		$95.53	$141.32	$214.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $30.51 / $30.51	Facility		$30.51	$30.51	$30.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $555.00 / $3,479.91	Facility		$148.34	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $181.94 / $397.92	Professional		$100.27	$181.94	$397.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $137.04 / $308.01	Professional		$91.52	$137.04	$308.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $117.14 / $270.44	Facility		$117.14	$117.14	$270.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $156.22 / $235.77	Professional		$97.02	$156.22	$235.77