Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.76 / $3,659.00 / $9,868.00	Facility		$422.76	$3,659.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $421.71 / $838.20	Professional		$301.50	$421.71	$838.20
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 $340.33 / $425.42 / $941.43	Professional		$340.33	$425.42	$941.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.39 / $1,990.00 / $8,917.50	Facility		$478.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.39 / $478.39 / $651.22	Professional		$478.39	$478.39	$651.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.58 / $577.58 / $577.58	Facility		$577.58	$577.58	$577.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $528.53 / $1,156.18	Professional		$253.88	$528.53	$1,156.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $369.60 / $903.29	Facility		$250.00	$369.60	$903.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $544.69 / $631.35 / $1,328.14	Professional		$544.69	$631.35	$1,328.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $498.08 / $857.29	Professional		$372.10	$498.08	$857.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,256.89 / $4,256.89 / $4,256.89	Facility		$4,256.89	$4,256.89	$4,256.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $577.58 / $74,999.25	Facility		$555.00	$577.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $570.29 / $1,284.95	Professional		$305.00	$570.29	$1,284.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $529.70 / $1,172.03	Professional		$293.00	$529.70	$1,172.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $370.92 / $370.92 / $1,053.08	Facility		$370.92	$370.92	$1,053.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $372.10 / $498.08 / $1,092.57	Professional		$372.10	$498.08	$1,092.57