Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $3,703.00 / $8,907.00	Facility		$203.38	$3,703.00	$8,907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $201.29 / $399.60	Professional		$137.18	$201.29	$399.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.76 / $213.39 / $464.66	Professional		$160.76	$213.39	$464.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $215.03 / $6,213.00	Facility		$215.03	$215.03	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $215.03 / $332.96	Professional		$215.03	$215.03	$332.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Facility		$259.70	$259.70	$259.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $251.71 / $534.34	Professional		$135.69	$251.71	$534.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $227.54 / $393.82	Facility		$144.00	$227.54	$393.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $318.72 / $667.22	Professional		$274.97	$318.72	$667.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $219.52 / $436.61	Professional		$175.62	$219.52	$436.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $257.27 / $257.27	Professional		$257.27	$257.27	$257.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $555.00 / $74,999.25	Facility		$259.70	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $287.62 / $595.52	Professional		$158.93	$287.62	$595.52
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $263.42 / $589.74	Professional		$155.27	$263.42	$589.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $164.76 / $506.71	Facility		$164.76	$164.76	$506.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $233.48 / $498.83	Professional		$175.62	$233.48	$498.83