Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $2,660.00 / $7,185.00	Facility		$86.38	$2,660.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $95.80 / $250.81	Professional		$64.67	$95.80	$250.81
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 $93.07 / $116.70 / $225.18	Professional		$93.07	$116.70	$225.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $92.92 / $4,050.00	Facility		$92.92	$92.92	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $92.92 / $143.53	Professional		$92.92	$92.92	$143.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $112.04 / $3,479.91	Facility		$112.04	$112.04	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $140.13 / $326.76	Professional		$74.23	$140.13	$326.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $104.00 / $332.00	Facility		$65.00	$104.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $138.82 / $207.76	Professional		$119.69	$138.82	$207.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $118.67 / $189.99	Professional		$81.33	$118.67	$189.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.67 / $1,993.67 / $2,580.87	Facility		$1,993.67	$1,993.67	$2,580.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $555.00 / $3,479.91	Facility		$112.04	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $145.80 / $326.76	Professional		$86.28	$145.80	$326.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $132.02 / $268.99	Professional		$95.73	$132.02	$268.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $234.16	Facility		$74.56	$74.56	$234.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $124.10 / $208.67	Professional		$81.33	$124.10	$208.67