Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.74 / $3,818.00 / $8,907.44	Facility		$285.74	$3,818.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.29 / $275.61 / $553.79	Professional		$213.29	$275.61	$553.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $190.96 / $525.98	Professional		$148.18	$190.96	$525.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $1,716.00 / $6,213.00	Facility		$301.17	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $301.17 / $301.17	Professional		$301.17	$301.17	$301.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $242.28 / $4,612.43	Facility		$242.28	$242.28	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $372.56 / $839.00	Professional		$207.81	$372.56	$839.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $250.00 / $557.19	Facility		$60.00	$250.00	$557.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $291.74 / $436.60	Professional		$247.64	$291.74	$436.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $259.06 / $390.50	Professional		$174.24	$259.06	$390.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.84 / $2,706.85 / $3,681.19	Facility		$2,164.84	$2,706.85	$3,681.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $555.00 / $4,612.43	Facility		$242.28	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.77 / $372.56 / $847.94	Professional		$227.77	$372.56	$847.94
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 $178.42 / $277.58 / $603.12	Professional		$178.42	$277.58	$603.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $284.93 / $284.93 / $704.98	Facility		$284.93	$284.93	$704.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $284.93 / $452.00	Professional		$177.63	$284.93	$452.00