Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $2,902.00 / $7,563.00	Facility		$158.29	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $203.18 / $396.84	Professional		$85.67	$203.18	$396.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $219.06 / $535.74	Professional		$176.40	$219.06	$535.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $136.61 / $136.61 / $4,050.00	Facility		$136.61	$136.61	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $136.61 / $353.37	Professional		$136.61	$136.61	$353.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $263.58	Facility		$160.41	$160.41	$263.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $213.77 / $514.57	Professional		$84.58	$213.77	$514.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $118.09 / $332.00	Facility		$35.00	$118.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $314.22 / $498.98	Professional		$262.54	$314.22	$498.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $222.97 / $442.66	Professional		$134.18	$222.97	$442.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $119.57	Professional		$119.57	$119.57	$119.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $555.00 / $74,999.25	Facility		$160.41	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $276.82 / $585.23	Professional		$111.59	$276.82	$585.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,612.00 / $7,203.00	Facility		$1,768.00	$3,612.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $274.31 / $596.03	Professional		$204.92	$274.31	$596.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $133.19 / $291.97	Facility		$133.19	$133.19	$291.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $245.19 / $507.58	Professional		$134.18	$245.19	$507.58