Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.18 / $3,841.00 / $9,038.00	Facility		$1,134.18	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $929.45 / $1,570.65	Professional		$815.78	$929.45	$1,570.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.49 / $1,022.19 / $2,213.40	Professional		$798.49	$1,022.19	$2,213.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,261.96 / $1,716.00 / $6,213.00	Facility		$1,261.96	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,261.96 / $1,261.96 / $1,261.96	Professional		$1,261.96	$1,261.96	$1,261.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.78 / $1,349.34 / $3,373.39	Professional		$894.78	$1,349.34	$3,373.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $825.00 / $2,392.17	Facility		$332.00	$825.00	$2,392.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $978.33 / $1,388.58 / $2,051.96	Professional		$978.33	$1,388.58	$2,051.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.13 / $840.13 / $840.13	Facility		$840.13	$840.13	$840.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.79 / $1,071.75 / $1,890.60	Professional		$728.79	$1,071.75	$1,890.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,975.25 / $6,975.25 / $6,975.25	Facility		$6,975.25	$6,975.25	$6,975.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,014.77	Facility		$555.00	$597.00	$1,014.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $921.77 / $1,349.34 / $3,125.30	Professional		$921.77	$1,349.34	$3,125.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.20 / $1,128.00 / $2,754.00	Professional		$795.20	$1,128.00	$2,754.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.75 / $1,071.75 / $4,141.13	Facility		$1,071.75	$1,071.75	$4,141.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $764.76 / $1,170.80 / $2,265.51	Professional		$764.76	$1,170.80	$2,265.51