Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.73 / $2,842.00 / $7,185.00	Facility		$303.73	$2,842.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $360.39 / $693.21	Professional		$231.64	$360.39	$693.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $347.77 / $816.56	Professional		$266.04	$347.77	$816.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $318.87 / $1,716.00 / $6,213.00	Facility		$318.87	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $318.87 / $484.07	Professional		$318.87	$318.87	$484.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.17 / $388.17 / $4,612.43	Facility		$388.17	$388.17	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $502.69 / $1,113.98	Professional		$239.17	$502.69	$1,113.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $303.60 / $593.64	Facility		$250.00	$303.60	$593.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.81 / $460.14 / $688.63	Professional		$395.81	$460.14	$688.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $371.88 / $631.27	Professional		$281.27	$371.88	$631.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,537.00 / $4,537.00 / $4,537.00	Facility		$4,537.00	$4,537.00	$4,537.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $388.17 / $597.00 / $8,498.00	Facility		$388.17	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $524.07 / $1,153.20	Professional		$267.89	$524.07	$1,153.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $419.22 / $1,014.98	Professional		$293.64	$419.22	$1,014.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $246.47 / $246.47 / $845.12	Facility		$246.47	$246.47	$845.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $427.41 / $719.73	Professional		$279.47	$427.41	$719.73