Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.71 / $3,020.00 / $7,307.00	Facility		$189.71	$3,020.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $222.53 / $474.23	Professional		$130.12	$222.53	$474.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $194.32 / $551.46	Professional		$148.65	$194.32	$551.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.94 / $165.94 / $6,213.00	Facility		$165.94	$165.94	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $165.94 / $277.66	Professional		$165.94	$165.94	$277.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $202.73 / $3,479.91	Facility		$202.73	$202.73	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $272.49 / $670.46	Professional		$133.68	$272.49	$670.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $201.89 / $332.00	Facility		$137.66	$201.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $264.12 / $395.27	Professional		$221.94	$264.12	$395.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.37 / $214.16 / $363.54	Professional		$170.37	$214.16	$363.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.54 / $626.54 / $626.54	Facility		$626.54	$626.54	$626.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $597.00 / $8,498.00	Facility		$202.73	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $295.89 / $670.46	Professional		$149.65	$295.89	$670.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $240.80 / $533.97	Professional		$167.49	$240.80	$533.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $504.62	Facility		$129.47	$129.47	$504.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $246.14 / $397.22	Professional		$160.94	$246.14	$397.22