Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $3,000.00 / $9,094.00	Facility		$109.78	$3,000.00	$9,094.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $119.56 / $236.68	Professional		$83.78	$119.56	$236.68
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 $95.64 / $121.27 / $268.56	Professional		$95.64	$121.27	$268.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $109.41 / $4,050.00	Facility		$109.41	$109.41	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $157.16	Professional		$109.41	$109.41	$157.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $3,479.91	Facility		$129.72	$129.72	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $164.19 / $380.44	Professional		$82.75	$164.19	$380.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $127.49 / $332.00	Facility		$78.67	$127.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $148.54 / $222.29	Professional		$124.57	$148.54	$222.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $117.69 / $203.33	Professional		$90.62	$117.69	$203.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.33 / $2,079.21 / $3,339.00	Facility		$603.33	$2,079.21	$3,339.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $555.00 / $3,479.91	Facility		$129.72	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $166.61 / $380.44	Professional		$89.33	$166.61	$380.44
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 $106.25 / $143.85 / $303.79	Professional		$106.25	$143.85	$303.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $81.34 / $285.26	Facility		$81.34	$81.34	$285.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $128.94 / $221.95	Professional		$89.55	$128.94	$221.95