Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $3,293.10 / $8,095.00	Facility		$115.86	$3,293.10	$8,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $118.62 / $259.14	Professional		$81.70	$118.62	$259.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $135.63 / $292.06	Professional		$110.38	$135.63	$292.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $1,990.00 / $8,917.50	Facility		$131.10	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $131.10 / $205.11	Professional		$131.10	$131.10	$205.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $156.88 / $5,246.94	Facility		$156.88	$156.88	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $180.66 / $431.47	Professional		$99.01	$180.66	$431.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.47 / $332.00	Facility		$100.00	$158.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $203.54 / $302.30	Professional		$176.40	$203.54	$302.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $193.55 / $309.20	Professional		$106.49	$193.55	$309.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,489.07 / $3,489.07 / $8,457.24	Facility		$3,489.07	$3,489.07	$8,457.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $555.00 / $5,246.94	Facility		$156.88	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $185.24 / $428.12	Professional		$107.56	$185.24	$428.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,572.00	Facility		$2,337.00	$5,963.00	$12,572.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $176.41 / $364.35	Professional		$120.21	$176.41	$364.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $109.14 / $261.17	Facility		$109.14	$109.14	$261.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $212.44 / $309.20	Professional		$106.49	$212.44	$309.20