Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.38 / $3,016.00 / $7,563.00	Facility		$223.38	$3,016.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $195.56 / $394.75	Professional		$144.83	$195.56	$394.75
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 $166.10 / $210.61 / $474.62	Professional		$166.10	$210.61	$474.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $228.26 / $228.26 / $4,050.00	Facility		$228.26	$228.26	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $228.26 / $285.08	Professional		$228.26	$228.26	$285.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $163.46 / $270.13	Facility		$163.46	$163.46	$270.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $241.19 / $552.49	Professional		$139.87	$241.19	$552.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $228.42 / $410.06	Facility		$139.00	$228.42	$410.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $274.33 / $428.00	Professional		$224.59	$274.33	$428.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $189.19 / $375.47	Professional		$105.96	$189.19	$375.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $246.80 / $246.80	Professional		$246.80	$246.80	$246.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $555.00 / $74,999.25	Facility		$163.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $249.39 / $615.97	Professional		$162.62	$249.39	$615.97
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 $174.38 / $230.57 / $533.19	Professional		$174.38	$230.57	$533.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.35 / $221.35 / $513.91	Facility		$221.35	$221.35	$513.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $221.35 / $456.67	Professional		$105.96	$221.35	$456.67