Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $2,969.33 / $8,711.20	Facility		$124.37	$2,969.33	$8,711.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $369.87 / $1,558.77	Professional		$78.64	$369.87	$1,558.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.74 / $663.91 / $1,862.44	Professional		$522.74	$663.91	$1,862.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $128.13 / $8,917.50	Facility		$128.13	$128.13	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $984.21	Professional		$128.13	$128.13	$984.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $151.47 / $14,648.00	Facility		$151.47	$151.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $548.63 / $2,409.90	Professional		$100.26	$548.63	$2,409.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $147.32 / $332.00	Facility		$97.00	$147.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $587.59 / $796.51 / $1,612.61	Professional		$587.59	$796.51	$1,612.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.22 / $697.66 / $1,071.90	Professional		$487.22	$697.66	$1,071.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.50 / $2,221.50 / $2,221.50	Facility		$2,221.50	$2,221.50	$2,221.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $151.47 / $74,999.25	Facility		$151.47	$151.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $840.58 / $2,409.90	Professional		$126.46	$840.58	$2,409.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.85 / $889.12 / $2,024.32	Professional		$491.85	$889.12	$2,024.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $156.93	Facility		$94.98	$94.98	$156.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $279.76 / $736.00 / $1,165.11	Professional		$279.76	$736.00	$1,165.11