Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $4,047.54 / $9,969.75	Facility		$261.89	$4,047.54	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $229.88 / $520.30	Professional		$177.64	$229.88	$520.30
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 $183.33 / $229.61 / $477.73	Professional		$183.33	$229.61	$477.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $285.43 / $1,254.00 / $4,050.00	Facility		$285.43	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $285.43 / $285.43 / $285.43	Professional		$285.43	$285.43	$285.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.08 / $230.08 / $3,479.91	Facility		$230.08	$230.08	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.06 / $331.83 / $727.71	Professional		$194.06	$331.83	$727.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.73 / $288.00 / $533.70	Facility		$216.73	$288.00	$533.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.20 / $275.08 / $411.69	Professional		$237.20	$275.08	$411.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $377.66 / $598.79	Professional		$166.38	$377.66	$598.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,524.75 / $4,343.10 / $6,194.32	Facility		$1,524.75	$4,343.10	$6,194.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.08 / $555.00 / $3,479.91	Facility		$230.08	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.03 / $331.83 / $727.71	Professional		$210.03	$331.83	$727.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,963.00 / $8,208.00	Facility		$2,264.00	$3,963.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $273.14 / $519.66	Professional		$189.64	$273.14	$519.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $233.48 / $233.48 / $595.24	Facility		$233.48	$233.48	$595.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $299.18 / $635.55	Professional		$166.38	$299.18	$635.55