Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $3,158.00 / $7,563.00	Facility		$219.49	$3,158.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $300.00 / $628.39	Professional		$162.49	$300.00	$628.39
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 $261.17 / $331.70 / $742.70	Professional		$261.17	$331.70	$742.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $226.20 / $226.20 / $6,213.00	Facility		$226.20	$226.20	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $226.20 / $454.42	Professional		$226.20	$226.20	$454.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $272.83 / $7,227.90	Facility		$272.83	$272.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $396.58 / $914.94	Professional		$175.74	$396.58	$914.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $315.00 / $544.95	Facility		$170.00	$315.00	$544.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $321.81 / $413.06 / $883.20	Professional		$321.81	$413.06	$883.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $304.16 / $572.87	Professional		$254.94	$304.16	$572.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.88 / $799.94 / $5,331.32	Facility		$365.88	$799.94	$5,331.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $597.00 / $8,498.00	Facility		$272.83	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $437.99 / $1,017.54	Professional		$214.38	$437.99	$1,017.54
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 $294.97 / $424.03 / $794.34	Professional		$294.97	$424.03	$794.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $181.83 / $583.79	Facility		$181.83	$181.83	$583.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.70 / $369.26 / $629.22	Professional		$216.70	$369.26	$629.22