Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $3,419.00 / $8,442.00	Facility		$444.49	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $456.38 / $838.25	Professional		$291.55	$456.38	$838.25
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 $397.24 / $497.66 / $1,109.70	Professional		$397.24	$497.66	$1,109.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $678.18 / $1,716.00 / $6,213.00	Facility		$678.18	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $678.18 / $736.43	Professional		$678.18	$678.18	$736.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $222.28 / $354.05	Facility		$222.28	$222.28	$354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $579.10 / $1,105.19	Professional		$216.64	$579.10	$1,105.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $242.75 / $418.00 / $815.89	Facility		$242.75	$418.00	$815.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.69 / $364.43 / $563.98	Professional		$303.69	$364.43	$563.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.10 / $396.83 / $495.10	Professional		$233.10	$396.83	$495.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $637.55 / $637.55	Professional		$637.55	$637.55	$637.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $555.00 / $74,999.25	Facility		$222.28	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.89 / $611.29 / $1,177.00	Professional		$253.89	$611.29	$1,177.00
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $567.85 / $1,153.31	Professional		$253.79	$567.85	$1,153.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $293.60 / $293.60 / $1,326.92	Facility		$293.60	$293.60	$1,326.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $400.00 / $1,286.81	Professional		$218.85	$400.00	$1,286.81