Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.64 / $2,902.00 / $7,632.44	Facility		$250.64	$2,902.00	$7,632.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $215.21 / $796.00	Professional		$171.19	$215.21	$796.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $191.83 / $492.19	Professional		$146.74	$191.83	$492.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $243.22 / $243.22 / $6,213.00	Facility		$243.22	$243.22	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $243.22 / $243.22 / $243.22	Professional		$243.22	$243.22	$243.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $196.01 / $14,648.00	Facility		$196.01	$196.01	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $346.61 / $947.73	Professional		$164.67	$346.61	$947.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $257.48 / $445.64	Facility		$181.37	$257.48	$445.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $232.74 / $348.31	Professional		$198.06	$232.74	$348.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $199.17 / $316.63	Professional		$135.69	$199.17	$316.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $1,717.50 / $8,659.37	Facility		$85.52	$1,717.50	$8,659.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $196.01 / $74,999.25	Facility		$196.01	$196.01	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $313.44 / $927.24	Professional		$187.23	$313.44	$927.24
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 $176.56 / $254.70 / $552.11	Professional		$176.56	$254.70	$552.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $199.17 / $657.72	Facility		$199.17	$199.17	$657.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $200.22 / $408.51	Professional		$135.69	$200.22	$408.51