Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.25 / $3,797.00 / $10,296.00	Facility		$179.25	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $144.91 / $372.07	Professional		$133.44	$144.91	$372.07
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 $100.72 / $131.66 / $313.64	Professional		$100.72	$131.66	$313.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.38 / $1,254.00 / $4,050.00	Facility		$168.38	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $168.38 / $168.38	Professional		$168.38	$168.38	$168.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $133.08 / $3,479.91	Facility		$133.08	$133.08	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $242.69 / $674.37	Professional		$114.20	$242.69	$674.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $285.00 / $456.00	Facility		$131.80	$285.00	$456.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $156.08 / $233.58	Professional		$131.80	$156.08	$233.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $135.10 / $214.78	Professional		$97.59	$135.10	$214.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.72 / $950.36 / $1,882.40	Facility		$307.72	$950.36	$1,882.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $597.00 / $74,999.25	Facility		$133.08	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $224.10 / $674.37	Professional		$130.43	$224.10	$674.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $181.05 / $468.61	Professional		$123.79	$181.05	$468.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.10 / $135.10 / $655.52	Facility		$135.10	$135.10	$655.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $144.66 / $277.10	Professional		$107.64	$144.66	$277.10