Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.32 / $3,818.00 / $9,989.23	Facility		$288.32	$3,818.00	$9,989.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $270.81 / $524.92	Professional		$216.25	$270.81	$524.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $203.56 / $513.48	Professional		$157.91	$203.56	$513.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $296.77 / $1,254.00 / $4,050.00	Facility		$296.77	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $296.77 / $296.77	Professional		$296.77	$296.77	$296.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $237.80 / $3,479.91	Facility		$237.80	$237.80	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $363.06 / $825.24	Professional		$202.97	$363.06	$825.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $257.60 / $541.58	Facility		$161.00	$257.60	$541.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.70 / $286.19 / $428.29	Professional		$240.70	$286.19	$428.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $237.83 / $383.46	Professional		$171.10	$237.83	$383.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,597.04 / $3,597.04 / $4,535.22	Facility		$3,597.04	$3,597.04	$4,535.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $555.00 / $3,479.91	Facility		$237.80	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $220.11 / $363.06 / $822.48	Professional		$220.11	$363.06	$822.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $262.68 / $587.54	Professional		$169.44	$262.68	$587.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $279.80 / $279.80 / $727.94	Facility		$279.80	$279.80	$727.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $261.67 / $443.86	Professional		$178.96	$261.67	$443.86