Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.39 / $4,392.00 / $10,024.00	Facility		$919.39	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.19 / $764.40 / $1,417.57	Professional		$643.19	$764.40	$1,417.57
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 $530.80 / $693.88 / $1,644.23	Professional		$530.80	$693.88	$1,644.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,025.30 / $1,990.00 / $8,917.50	Facility		$1,025.30	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,025.30 / $1,025.30 / $1,025.30	Professional		$1,025.30	$1,025.30	$1,025.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.26 / $811.26 / $811.26	Facility		$811.26	$811.26	$811.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.33 / $1,074.82 / $2,643.27	Professional		$707.33	$1,074.82	$2,643.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $785.00 / $1,887.30	Facility		$332.00	$785.00	$1,887.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $774.87 / $1,098.05 / $1,618.88	Professional		$774.87	$1,098.05	$1,618.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.41 / $665.41 / $665.41	Facility		$665.41	$665.41	$665.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.02 / $732.53 / $1,520.23	Professional		$586.02	$732.53	$1,520.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.34 / $968.34 / $968.34	Professional		$968.34	$968.34	$968.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $811.26	Facility		$555.00	$597.00	$811.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $716.56 / $1,051.49 / $2,440.11	Professional		$716.56	$1,051.49	$2,440.11
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 $614.92 / $901.85 / $2,032.79	Professional		$614.92	$901.85	$2,032.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $861.80 / $861.80 / $3,571.35	Facility		$861.80	$861.80	$3,571.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $623.49 / $927.32 / $1,821.70	Professional		$623.49	$927.32	$1,821.70