Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.82 / $4,683.00 / $10,526.00	Facility		$1,020.82	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.42 / $986.97 / $1,770.35	Professional		$647.42	$986.97	$1,770.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.91 / $796.29 / $1,923.36	Professional		$617.91	$796.29	$1,923.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,152.33 / $2,390.00 / $10,957.50	Facility		$1,152.33	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,152.33 / $1,152.33 / $1,152.33	Professional		$1,152.33	$1,152.33	$1,152.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $918.62 / $918.62 / $6,511.02	Facility		$918.62	$918.62	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.17 / $1,337.76 / $2,921.35	Professional		$626.17	$1,337.76	$2,921.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $862.30 / $2,111.00	Facility		$319.00	$862.30	$2,111.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $938.22 / $1,096.43 / $1,640.87	Professional		$938.22	$1,096.43	$1,640.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.07 / $887.66 / $1,506.79	Professional		$667.07	$887.66	$1,506.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,240.82 / $8,240.82 / $8,240.82	Facility		$8,240.82	$8,240.82	$8,240.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $918.62 / $6,511.02	Facility		$555.00	$918.62	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $740.25 / $1,337.76 / $2,998.20	Professional		$740.25	$1,337.76	$2,998.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.02 / $1,003.10 / $2,217.76	Professional		$689.02	$1,003.10	$2,217.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $887.66 / $887.66 / $2,639.37	Facility		$887.66	$887.66	$2,639.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.92 / $1,020.20 / $1,930.58	Professional		$670.92	$1,020.20	$1,930.58