Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $2,399.00 / $7,095.00	Facility		$134.30	$2,399.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $150.79 / $382.47	Professional		$97.27	$150.79	$382.47
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 $155.69 / $202.67 / $353.47	Professional		$155.69	$202.67	$353.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.96 / $153.96 / $4,050.00	Facility		$153.96	$153.96	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $153.96 / $248.98	Professional		$153.96	$153.96	$248.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.35 / $184.35 / $3,479.91	Facility		$184.35	$184.35	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $225.00 / $522.00	Professional		$115.93	$225.00	$522.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $143.63 / $332.00	Facility		$75.00	$143.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.17 / $247.14 / $370.01	Professional		$205.17	$247.14	$370.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $213.03 / $341.05	Professional		$121.80	$213.03	$341.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.21 / $347.26 / $394.86	Facility		$205.21	$347.26	$394.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.35 / $555.00 / $3,479.91	Facility		$184.35	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $229.72 / $522.00	Professional		$129.10	$229.72	$522.00
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 $147.21 / $219.48 / $435.01	Professional		$147.21	$219.48	$435.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $127.10 / $330.93	Facility		$127.10	$127.10	$330.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $220.94 / $374.60	Professional		$121.80	$220.94	$374.60