Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $3,347.00 / $8,134.00	Facility		$286.41	$3,347.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $286.41 / $580.76	Professional		$200.43	$286.41	$580.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $289.70 / $625.76	Professional		$218.92	$289.70	$625.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $318.82 / $318.82 / $6,213.00	Facility		$318.82	$318.82	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $318.82 / $449.17	Professional		$318.82	$318.82	$449.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.14 / $384.14 / $384.14	Facility		$384.14	$384.14	$384.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.71 / $357.69 / $767.84	Professional		$187.71	$357.69	$767.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $294.00 / $590.36	Facility		$231.00	$294.00	$590.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.94 / $427.64 / $900.24	Professional		$368.94	$427.64	$900.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.22 / $293.58 / $582.77	Professional		$247.22	$293.58	$582.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.16 / $2,171.57 / $5,233.01	Facility		$1,702.16	$2,171.57	$5,233.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $380.66 / $438.90	Professional		$293.58	$380.66	$438.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $384.14 / $555.00 / $74,999.25	Facility		$384.14	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $395.19 / $815.03	Professional		$221.84	$395.19	$815.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.53 / $344.47 / $764.25	Professional		$212.53	$344.47	$764.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $243.30 / $731.61	Facility		$243.30	$243.30	$731.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $338.59 / $716.67	Professional		$243.30	$338.59	$716.67