Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.89 / $3,347.00 / $8,521.00	Facility		$259.89	$3,347.00	$8,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $259.75 / $560.36	Professional		$193.92	$259.75	$560.36
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 $198.01 / $258.83 / $591.17	Professional		$198.01	$258.83	$591.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $298.18 / $1,990.00 / $8,917.50	Facility		$298.18	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $298.18 / $298.18 / $382.21	Professional		$298.18	$298.18	$382.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.73 / $358.73 / $5,246.94	Facility		$358.73	$358.73	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $392.80 / $860.38	Professional		$220.04	$392.80	$860.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.34 / $319.00 / $556.30	Facility		$226.34	$319.00	$556.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.22 / $371.72 / $556.29	Professional		$320.22	$371.72	$556.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.31 / $318.13 / $509.31	Professional		$200.31	$318.13	$509.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,699.72 / $3,088.39 / $5,895.79	Facility		$2,699.72	$3,088.39	$5,895.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $358.73 / $555.00 / $5,246.94	Facility		$358.73	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $400.00 / $873.30	Professional		$240.91	$400.00	$873.30
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 $258.83 / $354.97 / $714.16	Professional		$258.83	$354.97	$714.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.26 / $244.26 / $627.91	Facility		$244.26	$244.26	$627.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.31 / $333.26 / $561.79	Professional		$200.31	$333.26	$561.79