Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.87 / $2,660.00 / $7,839.00	Facility		$81.87	$2,660.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $118.63 / $226.61	Professional		$57.96	$118.63	$226.61
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 $99.22 / $125.81 / $317.81	Professional		$99.22	$125.81	$317.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $84.83 / $4,050.00	Facility		$84.83	$84.83	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $84.83 / $185.09	Professional		$84.83	$84.83	$185.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $3,479.91	Facility		$103.00	$103.00	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $148.13 / $398.02	Professional		$60.30	$148.13	$398.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $115.50 / $332.00	Facility		$65.06	$115.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $170.16 / $254.65	Professional		$131.47	$170.16	$254.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $118.36 / $233.07	Professional		$107.44	$118.36	$233.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.04 / $2,484.60 / $5,350.79	Facility		$1,769.04	$2,484.60	$5,350.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $555.00 / $3,479.91	Facility		$103.00	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $164.66 / $422.49	Professional		$75.00	$164.66	$422.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $162.16 / $391.78	Professional		$74.23	$162.16	$391.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $64.69 / $205.31	Facility		$64.69	$64.69	$205.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $141.63 / $255.99	Professional		$103.72	$141.63	$255.99