Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.73 / $3,060.00 / $7,735.00	Facility		$214.73	$3,060.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $198.75 / $420.56	Professional		$170.71	$198.75	$420.56
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 $129.57 / $165.63 / $417.45	Professional		$129.57	$165.63	$417.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $249.78 / $4,050.00	Facility		$249.78	$249.78	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $249.78 / $249.78	Professional		$249.78	$249.78	$249.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $194.87 / $14,648.00	Facility		$194.87	$194.87	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $298.62 / $827.35	Professional		$155.15	$298.62	$827.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.84 / $221.33 / $444.24	Facility		$135.84	$221.33	$444.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $240.88 / $343.06	Professional		$197.76	$240.88	$343.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $216.77 / $341.96	Professional		$123.21	$216.77	$341.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $3.56 / $3.56	Facility		$3.56	$3.56	$3.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $555.00 / $74,999.25	Facility		$194.87	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $262.85 / $809.35	Professional		$138.32	$262.85	$809.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $5,412.00	Facility		$1,079.00	$2,826.00	$5,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $252.65 / $520.20	Professional		$170.49	$252.65	$520.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.89 / $197.89 / $311.27	Facility		$197.89	$197.89	$311.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $217.76 / $359.43	Professional		$137.77	$217.76	$359.43