Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.03 / $4,043.00 / $10,170.00	Facility		$332.03	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $322.49 / $633.62	Professional		$235.31	$322.49	$633.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.58 / $316.45 / $733.75	Professional		$249.58	$316.45	$733.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.29 / $347.29 / $10,957.50	Facility		$347.29	$347.29	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $347.29 / $347.29 / $434.67	Professional		$347.29	$347.29	$434.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.20 / $236.20 / $412.62	Facility		$236.20	$236.20	$412.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $365.54 / $840.00	Professional		$223.72	$365.54	$840.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $320.10 / $624.62	Facility		$258.89	$320.10	$624.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $337.06 / $412.12 / $642.28	Professional		$337.06	$412.12	$642.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $289.16 / $565.35	Professional		$200.00	$289.16	$565.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $376.32 / $376.32	Professional		$376.32	$376.32	$376.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $236.20 / $555.00 / $74,999.25	Facility		$236.20	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $252.36 / $379.76 / $849.62	Professional		$252.36	$379.76	$849.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $346.30 / $700.18	Professional		$264.43	$346.30	$700.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $336.98 / $804.83	Facility		$336.98	$336.98	$804.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $336.98 / $710.61	Professional		$200.00	$336.98	$710.61