Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $3,516.00 / $9,038.00	Facility		$128.16	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $113.74 / $263.26	Professional		$93.30	$113.74	$263.26
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 $66.65 / $85.90 / $247.97	Professional		$66.65	$85.90	$247.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $1,254.00 / $4,050.00	Facility		$134.41	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Professional		$134.41	$134.41	$134.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $107.37 / $3,479.91	Facility		$107.37	$107.37	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $178.73 / $400.00	Professional		$73.06	$178.73	$400.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $145.80 / $332.00	Facility		$90.00	$145.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $129.01 / $193.06	Professional		$109.80	$129.01	$193.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $102.02 / $175.35	Professional		$77.04	$102.02	$175.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.82 / $2,089.82 / $2,089.82	Facility		$2,089.82	$2,089.82	$2,089.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $555.00 / $3,479.91	Facility		$107.37	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $176.78 / $383.58	Professional		$97.94	$176.78	$383.58
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 $60.38 / $121.11 / $299.13	Professional		$60.38	$121.11	$299.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.02 / $102.02 / $339.43	Facility		$102.02	$102.02	$339.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $111.37 / $225.84	Professional		$77.04	$111.37	$225.84