Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $2,920.00 / $7,521.00	Facility		$134.01	$2,920.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $162.91 / $319.24	Professional		$92.69	$162.91	$319.24
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 $157.04 / $198.39 / $411.55	Professional		$157.04	$198.39	$411.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $133.22 / $4,050.00	Facility		$133.22	$133.22	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $133.22 / $258.79	Professional		$133.22	$133.22	$258.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $159.41 / $170.65	Facility		$159.41	$159.41	$170.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $171.11 / $441.09	Professional		$85.76	$171.11	$441.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $115.93 / $332.00	Facility		$50.00	$115.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $236.58 / $373.10	Professional		$196.25	$236.58	$373.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $163.32 / $329.09	Professional		$98.30	$163.32	$329.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $213.41 / $224.05	Professional		$213.41	$213.41	$224.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $555.00 / $74,999.25	Facility		$159.41	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $211.04 / $445.90	Professional		$109.58	$211.04	$445.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,496.00 / $6,645.48	Facility		$1,324.00	$3,496.00	$6,645.48
United Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $201.42 / $402.18	Professional		$148.82	$201.42	$402.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $129.16 / $306.16	Facility		$129.16	$129.16	$306.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $182.28 / $377.36	Professional		$98.30	$182.28	$377.36