Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $2,626.00 / $7,307.00	Facility		$74.63	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $82.17 / $168.00	Professional		$59.21	$82.17	$168.00
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 $59.27 / $77.28 / $168.07	Professional		$59.27	$77.28	$168.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $1,254.00 / $4,050.00	Facility		$80.83	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $96.59	Professional		$80.83	$80.83	$96.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $97.78 / $3,479.91	Facility		$97.78	$97.78	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $114.91 / $251.22	Professional		$58.45	$114.91	$251.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $97.40 / $332.00	Facility		$64.93	$97.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $96.08 / $141.61	Professional		$80.06	$96.08	$141.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $78.31 / $126.27	Professional		$56.34	$78.31	$126.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.96 / $446.96 / $446.96	Facility		$446.96	$446.96	$446.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $555.00 / $3,479.91	Facility		$97.78	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $115.74 / $247.78	Professional		$69.12	$115.74	$247.78
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 $57.69 / $85.83 / $191.91	Professional		$57.69	$85.83	$191.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $75.44 / $212.93	Facility		$75.44	$75.44	$212.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $84.03 / $144.24	Professional		$64.14	$84.03	$144.24