Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.87 / $5,202.00 / $11,996.00	Facility		$915.87	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.55 / $728.33 / $1,358.46	Professional		$634.55	$728.33	$1,358.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.59 / $744.57 / $1,698.41	Professional		$569.59	$744.57	$1,698.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $985.62 / $2,644.00 / $12,319.50	Facility		$985.62	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $985.62 / $985.62 / $985.62	Professional		$985.62	$985.62	$985.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.31 / $795.31 / $795.31	Facility		$795.31	$795.31	$795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.09 / $1,047.99 / $2,632.20	Professional		$698.09	$1,047.99	$2,632.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $756.70 / $1,873.71	Facility		$332.00	$756.70	$1,873.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $766.71 / $1,088.01 / $1,607.23	Professional		$766.71	$1,088.01	$1,607.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.40 / $658.40 / $658.40	Facility		$658.40	$658.40	$658.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.96 / $713.70 / $1,481.17	Professional		$570.96	$713.70	$1,481.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.05 / $964.05 / $964.05	Professional		$964.05	$964.05	$964.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $795.31	Facility		$555.00	$597.00	$795.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $722.36 / $1,050.98 / $2,429.82	Professional		$722.36	$1,050.98	$2,429.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.40 / $894.97 / $2,040.34	Professional		$618.40	$894.97	$2,040.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $839.65 / $839.65 / $3,155.33	Facility		$839.65	$839.65	$3,155.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $583.61 / $917.54 / $1,774.89	Professional		$583.61	$917.54	$1,774.89