Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $3,599.00 / $8,134.00	Facility		$173.92	$3,599.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $168.55 / $289.48	Professional		$113.21	$168.55	$289.48
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 $104.18 / $136.19 / $323.55	Professional		$104.18	$136.19	$323.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.47 / $1,716.00 / $6,213.00	Facility		$185.47	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $185.47 / $185.47	Professional		$185.47	$185.47	$185.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $148.69 / $4,612.43	Facility		$148.69	$148.69	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $239.49 / $472.84	Professional		$133.90	$239.49	$472.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $157.74 / $340.22	Facility		$35.00	$157.74	$340.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $175.94 / $263.31	Professional		$151.21	$175.94	$263.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $148.59 / $237.90	Professional		$107.67	$148.59	$237.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,095.97 / $4,095.97 / $4,095.97	Facility		$4,095.97	$4,095.97	$4,095.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $555.00 / $4,612.43	Facility		$148.69	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $235.31 / $472.84	Professional		$135.59	$235.31	$472.84
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 $127.38 / $182.23 / $352.39	Professional		$127.38	$182.23	$352.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $148.59 / $467.46	Facility		$148.59	$148.59	$467.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $157.74 / $274.64	Professional		$120.17	$157.74	$274.64