Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $2,626.00 / $7,307.00	Facility		$156.88	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $175.24 / $450.91	Professional		$121.47	$175.24	$450.91
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 $159.72 / $198.36 / $398.56	Professional		$159.72	$198.36	$398.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.47 / $171.47 / $6,213.00	Facility		$171.47	$171.47	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $171.47 / $247.39	Professional		$171.47	$171.47	$247.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $208.51 / $3,479.91	Facility		$208.51	$208.51	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $257.49 / $560.57	Professional		$135.09	$257.49	$560.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $244.00 / $466.37	Facility		$144.97	$244.00	$466.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $239.42 / $358.31	Professional		$207.03	$239.42	$358.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $173.35 / $326.50	Professional		$143.76	$173.35	$326.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,212.99 / $1,702.42 / $2,803.30	Facility		$1,212.99	$1,702.42	$2,803.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $597.00 / $8,498.00	Facility		$208.51	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $260.02 / $572.17	Professional		$157.33	$260.02	$572.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $235.41 / $479.64	Professional		$169.18	$235.41	$479.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $440.37	Facility		$138.74	$138.74	$440.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $214.66 / $360.14	Professional		$143.76	$214.66	$360.14