Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $2,920.00 / $9,267.00	Facility		$95.58	$2,920.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $115.93 / $306.37	Professional		$66.00	$115.93	$306.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $125.05 / $296.60	Professional		$80.88	$125.05	$296.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $105.11 / $4,050.00	Facility		$105.11	$105.11	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $105.11 / $225.91	Professional		$105.11	$105.11	$225.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $14,648.00	Facility		$126.24	$126.24	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $141.61 / $331.68	Professional		$72.55	$141.61	$331.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $97.37 / $332.00	Facility		$55.00	$97.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $101.75 / $307.06	Professional		$36.00	$101.75	$307.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $147.63 / $287.02	Professional		$95.15	$147.63	$287.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $163.22 / $187.49	Professional		$163.22	$163.22	$187.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $555.00 / $74,999.25	Facility		$126.24	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $184.50 / $388.49	Professional		$86.16	$184.50	$388.49
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $175.71 / $403.45	Professional		$94.57	$175.71	$403.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $251.21	Facility		$79.27	$79.27	$251.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $166.76 / $327.93	Professional		$95.15	$166.76	$327.93