Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.59 / $3,832.00 / $9,038.00	Facility		$597.59	$3,832.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $469.69 / $807.09	Professional		$401.81	$469.69	$807.09
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 $346.53 / $450.20 / $1,059.65	Professional		$346.53	$450.20	$1,059.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $633.19 / $1,716.00 / $6,213.00	Facility		$633.19	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $633.19 / $633.19 / $633.19	Professional		$633.19	$633.19	$633.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $518.54	Facility		$518.54	$518.54	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.60 / $667.48 / $1,671.73	Professional		$438.60	$667.48	$1,671.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $332.00 / $1,211.33	Facility		$125.00	$332.00	$1,211.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.24 / $705.40 / $1,039.05	Professional		$501.24	$705.40	$1,039.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.43 / $430.43 / $430.43	Facility		$430.43	$430.43	$430.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.14 / $465.04 / $965.09	Professional		$362.14	$465.04	$965.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.38 / $617.38 / $617.38	Professional		$617.38	$617.38	$617.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $555.00 / $597.00	Facility		$518.54	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $458.02 / $663.04 / $1,541.09	Professional		$458.02	$663.04	$1,541.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $563.91 / $1,323.59	Professional		$392.59	$563.91	$1,323.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $547.10 / $547.10 / $1,926.18	Facility		$547.10	$547.10	$1,926.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.14 / $599.84 / $1,156.47	Professional		$362.14	$599.84	$1,156.47