Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $3,659.00 / $9,038.00	Facility		$101.84	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $94.90 / $214.00	Professional		$65.65	$94.90	$214.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $87.09 / $191.71	Professional		$68.58	$87.09	$191.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $107.88 / $37,499.62	Facility		$107.88	$107.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $107.88 / $107.88	Professional		$107.88	$107.88	$107.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $7,227.90	Facility		$86.29	$86.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $138.36 / $273.83	Professional		$78.04	$138.36	$273.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $125.60 / $332.00	Facility		$78.95	$125.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $113.31 / $213.70	Professional		$86.85	$113.31	$213.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $106.41 / $184.80	Professional		$62.67	$106.41	$184.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $181.05 / $181.05	Professional		$181.05	$181.05	$181.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $555.00 / $7,227.90	Facility		$86.29	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $132.07 / $273.83	Professional		$79.59	$132.07	$273.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $105.09 / $204.95	Professional		$75.05	$105.09	$204.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.67 / $85.67 / $282.68	Facility		$85.67	$85.67	$282.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $106.41 / $184.80	Professional		$69.78	$106.41	$184.80