Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $2,626.00 / $7,343.00	Facility		$83.56	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $85.29 / $180.26	Professional		$58.69	$85.29	$180.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $80.69 / $179.29	Professional		$61.72	$80.69	$179.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $4,050.00	Facility		$91.72	$91.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $91.72 / $121.80	Professional		$91.72	$91.72	$121.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $14,648.00	Facility		$111.58	$111.58	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $118.02 / $281.64	Professional		$71.12	$118.02	$281.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $100.13 / $332.00	Facility		$61.00	$100.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $134.88 / $198.83	Professional		$94.17	$134.88	$198.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.04 / $82.04 / $82.04	Facility		$82.04	$82.04	$82.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $88.95 / $184.61	Professional		$50.91	$88.95	$184.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $113.62 / $117.79	Professional		$82.04	$113.62	$117.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $555.00 / $597.00	Facility		$111.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $118.46 / $275.00	Professional		$74.68	$118.46	$275.00
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 $75.93 / $107.63 / $258.26	Professional		$75.93	$107.63	$258.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $78.20 / $179.16	Facility		$78.20	$78.20	$179.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $108.84 / $184.61	Professional		$60.49	$108.84	$184.61