Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $2,865.00 / $9,038.00	Facility		$82.20	$2,865.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $130.37 / $257.29	Professional		$59.45	$130.37	$257.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $127.63 / $361.07	Professional		$100.65	$127.63	$361.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.49 / $87.49 / $4,050.00	Facility		$87.49	$87.49	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $87.49 / $207.81	Professional		$87.49	$87.49	$207.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $108.80 / $7,227.90	Facility		$108.80	$108.80	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $183.15 / $485.84	Professional		$69.89	$183.15	$485.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $82.00 / $332.00	Facility		$40.00	$82.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $190.33 / $284.83	Professional		$148.16	$190.33	$284.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $134.11 / $263.56	Professional		$105.10	$134.11	$263.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,419.03 / $3,419.03 / $3,419.03	Facility		$3,419.03	$3,419.03	$3,419.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $555.00 / $7,227.90	Facility		$108.80	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $194.97 / $506.35	Professional		$80.26	$194.97	$506.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $172.24 / $392.16	Professional		$82.19	$172.24	$392.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $68.04 / $216.44	Facility		$68.04	$68.04	$216.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $162.71 / $289.49	Professional		$99.70	$162.71	$289.49