Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.51 / $2,559.00 / $7,616.00	Facility		$449.51	$2,559.00	$7,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $491.43 / $915.19	Professional		$316.24	$491.43	$915.19
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 $400.03 / $508.06 / $1,117.29	Professional		$400.03	$508.06	$1,117.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.77 / $489.77 / $16,534.50	Facility		$489.77	$489.77	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.77 / $489.77 / $707.97	Professional		$489.77	$489.77	$707.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.68 / $641.25 / $1,594.94	Professional		$365.68	$641.25	$1,594.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $355.20 / $870.73	Facility		$222.00	$355.20	$870.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $510.69 / $708.17 / $1,039.05	Professional		$510.69	$708.17	$1,039.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.55 / $438.55 / $438.55	Facility		$438.55	$438.55	$438.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.98 / $571.85 / $1,008.75	Professional		$428.98	$571.85	$1,008.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.16 / $1,995.71 / $3,113.68	Facility		$1,832.16	$1,995.71	$3,113.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.37 / $490.56 / $708.82	Professional		$446.37	$490.56	$708.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $574.91 / $597.00	Facility		$555.00	$574.91	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $383.68 / $689.24 / $1,584.51	Professional		$383.68	$689.24	$1,584.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,299.00 / $9,202.00	Facility		$2,062.00	$5,299.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $618.74 / $1,484.28	Professional		$440.10	$618.74	$1,484.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $409.95 / $409.95 / $974.87	Facility		$409.95	$409.95	$974.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $428.98 / $611.16 / $1,008.75	Professional		$428.98	$611.16	$1,008.75