Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $2,303.00 / $9,661.00	Facility		$92.75	$2,303.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $105.82 / $224.35	Professional		$75.76	$105.82	$224.35
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 $76.69 / $100.26 / $221.56	Professional		$76.69	$100.26	$221.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $102.48 / $4,050.00	Facility		$102.48	$102.48	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $102.48 / $124.92	Professional		$102.48	$102.48	$124.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $125.97 / $14,648.00	Facility		$125.97	$125.97	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $149.50 / $330.15	Professional		$75.63	$149.50	$330.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.00 / $332.00	Facility		$75.00	$120.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $129.32 / $186.34	Professional		$107.39	$129.32	$186.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $124.69 / $182.22	Professional		$73.83	$124.69	$182.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.86 / $160.86 / $160.86	Facility		$160.86	$160.86	$160.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $125.97 / $74,999.25	Facility		$125.97	$125.97	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $150.34 / $319.01	Professional		$87.71	$150.34	$319.01
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 $71.92 / $109.60 / $279.62	Professional		$71.92	$109.60	$279.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $98.34 / $244.09	Facility		$98.34	$98.34	$244.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $120.74 / $191.53	Professional		$73.83	$120.74	$191.53