Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.24 / $4,039.00 / $10,674.00	Facility		$691.24	$4,039.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.37 / $684.78 / $1,830.66	Professional		$509.37	$684.78	$1,830.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $721.49 / $1,729.45	Professional		$551.92	$721.49	$1,729.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $868.98 / $2,390.00 / $10,957.50	Facility		$868.98	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $868.98 / $868.98 / $1,070.95	Professional		$868.98	$868.98	$1,070.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.97 / $1,045.97 / $6,511.02	Facility		$1,045.97	$1,045.97	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $1,180.26 / $2,715.32	Professional		$523.66	$1,180.26	$2,715.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $905.00 / $1,637.17	Facility		$332.00	$905.00	$1,637.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $886.78 / $1,022.90 / $1,534.13	Professional		$886.78	$1,022.90	$1,534.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.45 / $809.72 / $1,507.85	Professional		$580.45	$809.72	$1,507.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.24 / $1,502.24 / $1,502.24	Professional		$1,502.24	$1,502.24	$1,502.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,045.97 / $23,610.00	Facility		$597.00	$1,045.97	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $605.92 / $1,217.30 / $2,579.48	Professional		$605.92	$1,217.30	$2,579.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $12,177.00	Facility		$2,264.00	$5,735.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.62 / $945.81 / $2,205.23	Professional		$524.62	$945.81	$2,205.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $662.00 / $1,799.79	Facility		$662.00	$662.00	$1,799.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $580.45 / $938.72 / $1,592.27	Professional		$580.45	$938.72	$1,592.27