Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $2,626.00 / $7,563.00	Facility		$158.56	$2,626.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $162.19 / $371.22	Professional		$116.14	$162.19	$371.22
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 $166.59 / $208.24 / $369.53	Professional		$166.59	$208.24	$369.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $183.61 / $4,050.00	Facility		$183.61	$183.61	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $183.61 / $259.04	Professional		$183.61	$183.61	$259.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.95 / $222.95 / $7,227.90	Facility		$222.95	$222.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $241.55 / $555.09	Professional		$136.50	$241.55	$555.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $162.41 / $349.74	Facility		$75.00	$162.41	$349.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.03 / $256.37 / $383.68	Professional		$221.03	$256.37	$383.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $187.40 / $352.97	Professional		$119.58	$187.40	$352.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,098.14 / $3,654.21 / $5,889.12	Facility		$3,098.14	$3,654.21	$5,889.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.95 / $555.00 / $7,227.90	Facility		$222.95	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $247.54 / $546.36	Professional		$148.76	$247.54	$546.36
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 $149.22 / $229.63 / $454.83	Professional		$149.22	$229.63	$454.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $376.34	Facility		$153.77	$153.77	$376.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $229.86 / $387.69	Professional		$153.77	$229.86	$387.69