Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.42 / $4,899.35 / $10,526.00	Facility		$650.42	$4,899.35	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.69 / $446.98 / $1,228.54	Professional		$412.69	$446.98	$1,228.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.60 / $482.56 / $1,139.69	Professional		$400.60	$482.56	$1,139.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $675.13 / $1,990.00 / $10,957.50	Facility		$675.13	$1,990.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $675.13 / $675.13 / $675.13	Professional		$675.13	$675.13	$675.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.73 / $542.73 / $542.73	Facility		$542.73	$542.73	$542.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.94 / $658.55 / $1,525.43	Professional		$318.94	$658.55	$1,525.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.16 / $497.42 / $1,272.76	Facility		$274.16	$497.42	$1,272.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $657.31 / $1,397.20	Professional		$567.08	$657.31	$1,397.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.71 / $463.64 / $887.14	Professional		$390.71	$463.64	$887.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,774.15 / $5,095.50 / $7,101.18	Facility		$1,774.15	$5,095.50	$7,101.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $542.73 / $555.00 / $74,999.25	Facility		$542.73	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $441.70 / $649.29 / $1,376.25	Professional		$441.70	$649.29	$1,376.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $524.59 / $1,218.93	Professional		$304.38	$524.59	$1,218.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $515.42 / $515.42 / $634.57	Facility		$515.42	$515.42	$634.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.74 / $515.42 / $1,130.76	Professional		$426.74	$515.42	$1,130.76