Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $1,176.33 / $7,343.00	Facility		$172.21	$1,176.33	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $256.36 / $564.57	Professional		$132.01	$256.36	$564.57
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 $248.11 / $335.27 / $653.41	Professional		$248.11	$335.27	$653.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.65 / $4,050.00	Facility		$197.65	$197.65	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $477.43	Professional		$197.65	$197.65	$477.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $14,648.00	Facility		$237.21	$237.21	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $360.95 / $891.16	Professional		$147.62	$360.95	$891.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $172.85 / $375.28	Facility		$75.00	$172.85	$375.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.65 / $490.40 / $751.18	Professional		$359.65	$490.40	$751.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.85 / $308.85 / $308.85	Facility		$308.85	$308.85	$308.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $410.02 / $723.29	Professional		$228.17	$410.02	$723.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.27 / $333.08 / $421.37	Facility		$261.27	$333.08	$421.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $555.00 / $597.00	Facility		$237.21	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $389.21 / $893.10	Professional		$149.05	$389.21	$893.10
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 $266.58 / $379.95 / $919.54	Professional		$266.58	$379.95	$919.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $170.73 / $524.23	Facility		$170.73	$170.73	$524.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $410.02 / $723.29	Professional		$228.17	$410.02	$723.29