Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $2,792.00 / $7,307.00	Facility		$272.58	$2,792.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $264.36 / $547.30	Professional		$188.93	$264.36	$547.30
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 $190.25 / $248.70 / $563.26	Professional		$190.25	$248.70	$563.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $301.32 / $8,917.50	Facility		$301.32	$301.32	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $301.32 / $340.95	Professional		$301.32	$301.32	$340.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $171.99 / $363.95	Facility		$171.99	$171.99	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.89 / $302.64 / $678.80	Professional		$182.89	$302.64	$678.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $282.00 / $566.60	Facility		$187.00	$282.00	$566.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.93 / $328.82 / $518.76	Professional		$274.93	$328.82	$518.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $226.77 / $444.74	Professional		$123.11	$226.77	$444.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.32 / $658.32 / $658.32	Professional		$658.32	$658.32	$658.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $555.00 / $74,999.25	Facility		$171.99	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.67 / $309.14 / $691.60	Professional		$199.67	$309.14	$691.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,507.00 / $4,583.00	Facility		$1,101.00	$2,507.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.83 / $277.44 / $610.98	Professional		$210.83	$277.44	$610.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $291.83 / $665.06	Facility		$291.83	$291.83	$665.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $291.83 / $588.91	Professional		$123.11	$291.83	$588.91