Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.17 / $5,044.00 / $10,170.00	Facility		$1,698.17	$5,044.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $754.68	Professional		$49.00	$656.25	$754.68
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 $206.00 / $719.88 / $1,540.50	Professional		$206.00	$719.88	$1,540.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $669.63 / $1,990.00 / $8,917.50	Facility		$669.63	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $669.63 / $669.63 / $669.63	Professional		$669.63	$669.63	$669.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $3,365.79 / $3,962.30	Professional		$231.75	$3,365.79	$3,962.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $778.50	Facility		$450.00	$450.00	$778.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.74 / $750.27 / $759.69	Professional		$645.74	$750.27	$759.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.45 / $3,494.45 / $3,494.45	Facility		$3,494.45	$3,494.45	$3,494.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $590.45 / $3,365.79 / $3,962.30	Professional		$590.45	$3,365.79	$3,962.30
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
Univera Facility/Professional Facility Modifier Low / Median / High Price $759.69 / $759.69 / $1,448.31	Facility		$759.69	$759.69	$1,448.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $759.69 / $759.69 / $1,251.80	Professional		$759.69	$759.69	$1,251.80