Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.07 / $2,465.00 / $7,307.00	Facility		$106.07	$2,465.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $124.48 / $268.07	Professional		$75.87	$124.48	$268.07
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 $111.74 / $138.76 / $332.42	Professional		$111.74	$138.76	$332.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $8,917.50	Facility		$110.72	$110.72	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $110.72 / $166.10	Professional		$110.72	$110.72	$166.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $136.68 / $1,225.00	Facility		$136.68	$136.68	$1,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $187.05 / $430.99	Professional		$100.69	$187.05	$430.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $128.00 / $332.00	Facility		$80.00	$128.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $157.15 / $348.49	Professional		$139.19	$157.15	$348.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $124.96 / $218.58	Professional		$80.39	$124.96	$218.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.36 / $1,404.95 / $2,383.19	Facility		$503.36	$1,404.95	$2,383.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $262.00 / $1,225.00	Facility		$136.68	$262.00	$1,225.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $200.00 / $456.84	Professional		$114.28	$200.00	$456.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $160.85 / $355.94	Professional		$113.80	$160.85	$355.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $86.36 / $286.69	Facility		$86.36	$86.36	$286.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $127.23 / $236.16	Professional		$80.39	$127.23	$236.16