Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $2,952.00 / $9,038.00	Facility		$139.50	$2,952.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $155.00 / $289.20	Professional		$104.03	$155.00	$289.20
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 $110.85 / $144.91 / $338.31	Professional		$110.85	$144.91	$338.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $141.58 / $6,213.00	Facility		$141.58	$141.58	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $141.58 / $211.29	Professional		$141.58	$141.58	$211.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $173.27 / $3,479.91	Facility		$173.27	$173.27	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $219.87 / $519.87	Professional		$112.30	$219.87	$519.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $173.28 / $332.00	Facility		$107.37	$173.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $201.38 / $301.37	Professional		$169.86	$201.38	$301.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $178.81 / $276.79	Professional		$123.50	$178.81	$276.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,631.00 / $1,631.00 / $6,142.95	Facility		$1,631.00	$1,631.00	$6,142.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $3,479.91 / $23,612.00	Facility		$173.27	$3,479.91	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $218.70 / $503.20	Professional		$129.19	$218.70	$503.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $180.14 / $402.64	Professional		$117.50	$180.14	$402.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.10 / $136.10 / $344.00	Facility		$136.10	$136.10	$344.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $201.96 / $306.11	Professional		$123.52	$201.96	$306.11