Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.64 / $4,629.00 / $10,674.00	Facility		$950.64	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $804.88 / $1,631.04	Professional		$664.12	$804.88	$1,631.04
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 $551.04 / $720.32 / $1,696.93	Professional		$551.04	$720.32	$1,696.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,074.94 / $2,390.00 / $10,957.50	Facility		$1,074.94	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,074.94 / $1,074.94 / $1,074.94	Professional		$1,074.94	$1,074.94	$1,074.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.48 / $857.48 / $857.48	Facility		$857.48	$857.48	$857.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.51 / $1,123.21 / $2,785.20	Professional		$744.51	$1,123.21	$2,785.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $812.62 / $2,004.91	Facility		$332.00	$812.62	$2,004.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $820.02 / $1,165.33 / $1,719.77	Professional		$820.02	$1,165.33	$1,719.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.18 / $704.18 / $704.18	Facility		$704.18	$704.18	$704.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.79 / $897.95 / $1,605.26	Professional		$618.79	$897.95	$1,605.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.22 / $1,015.22 / $1,015.22	Professional		$1,015.22	$1,015.22	$1,015.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $857.48	Facility		$555.00	$597.00	$857.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $749.32 / $1,105.40 / $2,508.07	Professional		$749.32	$1,105.40	$2,508.07
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 $653.54 / $957.29 / $2,294.46	Professional		$653.54	$957.29	$2,294.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $910.00 / $910.00 / $3,530.89	Facility		$910.00	$910.00	$3,530.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $946.40 / $1,923.59	Professional		$625.79	$946.40	$1,923.59