Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.74 / $2,900.00 / $7,563.00	Facility		$695.74	$2,900.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.62 / $694.91 / $1,408.63	Professional		$535.62	$694.91	$1,408.63
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 $578.77 / $709.57 / $1,679.26	Professional		$578.77	$709.57	$1,679.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $853.08 / $1,716.00 / $6,213.00	Facility		$853.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $853.08 / $853.08 / $1,086.55	Professional		$853.08	$853.08	$1,086.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,024.71 / $1,024.71 / $1,024.71	Facility		$1,024.71	$1,024.71	$1,024.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.93 / $902.29 / $2,134.42	Professional		$451.93	$902.29	$2,134.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $600.00 / $1,591.36	Facility		$332.00	$600.00	$1,591.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $903.17 / $1,046.84 / $2,204.28	Professional		$903.17	$1,046.84	$2,204.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.66 / $718.05 / $1,424.99	Professional		$600.66	$718.05	$1,424.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.24 / $912.93 / $922.97	Professional		$849.24	$912.93	$922.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,024.71 / $74,999.25	Facility		$555.00	$1,024.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $538.73 / $961.88 / $2,191.48	Professional		$538.73	$961.88	$2,191.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,203.00	Facility		$1,883.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.16 / $892.42 / $1,941.74	Professional		$477.16	$892.42	$1,941.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $655.41 / $655.41 / $2,097.85	Facility		$655.41	$655.41	$2,097.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $600.66 / $762.02 / $1,816.31	Professional		$600.66	$762.02	$1,816.31