Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $2,626.00 / $8,134.00	Facility		$60.34	$2,626.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $92.17 / $184.30	Professional		$45.20	$92.17	$184.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $107.14 / $244.26	Professional		$85.34	$107.14	$244.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $4,050.00	Facility		$65.84	$65.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $139.85	Professional		$65.84	$65.84	$139.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $78.13 / $3,479.91	Facility		$78.13	$78.13	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $121.54 / $351.00	Professional		$52.31	$121.54	$351.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $67.43 / $332.00	Facility		$40.00	$67.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $108.15 / $187.10	Professional		$44.25	$108.15	$187.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $87.70 / $174.55	Professional		$79.83	$87.70	$174.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.50 / $687.27 / $1,124.47	Facility		$323.50	$687.27	$1,124.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $555.00 / $3,479.91	Facility		$78.13	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $139.71 / $347.59	Professional		$55.08	$139.71	$347.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $120.47 / $298.14	Professional		$58.11	$120.47	$298.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $49.25 / $160.34	Facility		$49.25	$49.25	$160.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $105.79 / $191.72	Professional		$66.03	$105.79	$191.72