Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.73 / $4,640.82 / $11,080.00	Facility		$752.73	$4,640.82	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $627.42 / $1,686.80	Professional		$533.23	$627.42	$1,686.80
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 $528.91 / $676.82 / $1,470.77	Professional		$528.91	$676.82	$1,470.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $849.60 / $2,390.00 / $10,957.50	Facility		$849.60	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $849.60 / $849.60 / $849.60	Professional		$849.60	$849.60	$849.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.70 / $902.24 / $2,234.56	Professional		$598.70	$902.24	$2,234.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $841.00 / $1,617.05	Facility		$332.00	$841.00	$1,617.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.94 / $940.13 / $1,387.07	Professional		$664.94	$940.13	$1,387.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.01 / $571.01 / $571.01	Facility		$571.01	$571.01	$571.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $959.77 / $1,462.09	Professional		$503.61	$959.77	$1,462.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.45 / $627.45 / $836.77	Professional		$627.45	$627.45	$836.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $688.92	Facility		$555.00	$597.00	$688.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $621.82 / $955.20 / $2,089.17	Professional		$621.82	$955.20	$2,089.17
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 $536.82 / $739.21 / $1,912.81	Professional		$536.82	$739.21	$1,912.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $726.84 / $726.84 / $2,743.99	Facility		$726.84	$726.84	$2,743.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $964.14 / $1,644.85	Professional		$503.61	$964.14	$1,644.85