Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.14 / $3,841.00 / $9,038.00	Facility		$594.14	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $506.12 / $1,380.94	Professional		$428.85	$506.12	$1,380.94
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 $373.37 / $488.07 / $1,151.85	Professional		$373.37	$488.07	$1,151.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $684.74 / $1,716.00 / $6,213.00	Facility		$684.74	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $684.74 / $684.74 / $684.74	Professional		$684.74	$684.74	$684.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $558.35	Facility		$558.35	$558.35	$558.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.29 / $746.37 / $1,798.38	Professional		$483.29	$746.37	$1,798.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $582.72 / $1,311.12	Facility		$332.00	$582.72	$1,311.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.50 / $762.49 / $1,124.65	Professional		$538.50	$762.49	$1,124.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.43 / $462.43 / $462.43	Facility		$462.43	$462.43	$462.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $587.55 / $1,036.47	Professional		$398.87	$587.55	$1,036.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.32 / $3,664.32 / $3,672.66	Facility		$3,664.32	$3,664.32	$3,672.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $558.35 / $597.00	Facility		$555.00	$558.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $496.95 / $728.78 / $1,677.01	Professional		$496.95	$728.78	$1,677.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.16 / $636.73 / $1,540.86	Professional		$433.16	$636.73	$1,540.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $587.55 / $587.55 / $2,329.66	Facility		$587.55	$587.55	$2,329.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.54 / $611.05 / $1,242.01	Professional		$399.54	$611.05	$1,242.01