Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $3,347.00 / $7,735.00	Facility		$63.12	$3,347.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $59.33 / $120.12	Professional		$40.39	$59.33	$120.12
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 $38.26 / $50.02 / $118.62	Professional		$38.26	$50.02	$118.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $1,254.00 / $4,050.00	Facility		$65.81	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $53.94 / $3,479.91	Facility		$53.94	$53.94	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $88.19 / $231.37	Professional		$47.90	$88.19	$231.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $82.50 / $332.00	Facility		$52.00	$82.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $64.84 / $97.40	Professional		$56.30	$64.84	$97.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $54.24 / $95.37	Professional		$39.10	$54.24	$95.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,908.35 / $4,908.35 / $4,908.35	Facility		$4,908.35	$4,908.35	$4,908.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $555.00 / $3,479.91	Facility		$53.94	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $89.22 / $191.15	Professional		$49.69	$89.22	$191.15
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 $46.07 / $65.05 / $124.41	Professional		$46.07	$65.05	$124.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $54.24 / $145.06	Facility		$54.24	$54.24	$145.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $58.14 / $100.24	Professional		$43.51	$58.14	$100.24