Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.94 / $2,884.50 / $7,575.43	Facility		$114.94	$2,884.50	$7,575.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $129.81 / $351.35	Professional		$81.67	$129.81	$351.35
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 $106.45 / $133.47 / $277.72	Professional		$106.45	$133.47	$277.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $128.04 / $6,213.00	Facility		$128.04	$128.04	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $128.04 / $176.26	Professional		$128.04	$128.04	$176.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $154.52 / $3,479.91	Facility		$154.52	$154.52	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $185.14 / $410.22	Professional		$98.54	$185.14	$410.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $155.37 / $332.00	Facility		$96.38	$155.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $185.00 / $254.84	Professional		$146.47	$185.00	$254.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $123.51 / $232.64	Professional		$98.11	$123.51	$232.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.07 / $173.07 / $651.47	Facility		$173.07	$173.07	$651.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $597.00 / $8,498.00	Facility		$154.52	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $188.16 / $426.66	Professional		$111.92	$188.16	$426.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $166.19 / $341.92	Professional		$124.51	$166.19	$341.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $103.86 / $312.93	Facility		$103.86	$103.86	$312.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $152.66 / $256.61	Professional		$99.95	$152.66	$256.61