Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.17 / $3,621.00 / $8,149.89	Facility		$488.17	$3,621.00	$8,149.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.55 / $464.33 / $881.42	Professional		$345.55	$464.33	$881.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.61 / $473.26 / $1,009.35	Professional		$378.61	$473.26	$1,009.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $548.94 / $1,716.00 / $6,213.00	Facility		$548.94	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $548.94 / $548.94 / $718.43	Professional		$548.94	$548.94	$718.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.08 / $657.08 / $657.08	Facility		$657.08	$657.08	$657.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.85 / $586.69 / $1,312.91	Professional		$316.85	$586.69	$1,312.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $448.41 / $1,008.92	Facility		$332.00	$448.41	$1,008.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $589.75 / $683.58 / $1,444.11	Professional		$589.75	$683.58	$1,444.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.19 / $469.36 / $931.60	Professional		$403.19	$469.36	$931.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,033.04 / $3,033.04 / $3,033.04	Facility		$3,033.04	$3,033.04	$3,033.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $657.08 / $74,999.25	Facility		$555.00	$657.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $370.11 / $640.09 / $1,390.05	Professional		$370.11	$640.09	$1,390.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $544.01 / $1,153.76	Professional		$345.35	$544.01	$1,153.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $415.15 / $415.15 / $1,373.96	Facility		$415.15	$415.15	$1,373.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $403.19 / $541.26 / $1,187.43	Professional		$403.19	$541.26	$1,187.43