Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.24 / $3,060.00 / $7,343.00	Facility		$285.24	$3,060.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $264.85 / $478.92	Professional		$184.74	$264.85	$478.92
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 $222.37 / $281.95 / $645.88	Professional		$222.37	$281.95	$645.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.02 / $293.02 / $6,213.00	Facility		$293.02	$293.02	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $293.02 / $389.95	Professional		$293.02	$293.02	$389.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.26 / $209.26 / $347.89	Facility		$209.26	$209.26	$347.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $329.60 / $717.37	Professional		$187.56	$329.60	$717.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $319.00 / $778.46	Facility		$231.00	$319.00	$778.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $378.51 / $589.04	Professional		$309.07	$378.51	$589.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $261.04 / $498.49	Professional		$164.03	$261.04	$498.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $344.49 / $344.49	Professional		$340.74	$344.49	$344.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $209.26 / $555.00 / $74,999.25	Facility		$209.26	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $356.35 / $760.90	Professional		$222.82	$356.35	$760.90
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 $242.42 / $326.02 / $697.43	Professional		$242.42	$326.02	$697.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.29 / $281.29 / $782.12	Facility		$281.29	$281.29	$782.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $281.29 / $617.00	Professional		$164.03	$281.29	$617.00