Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $2,902.00 / $11,051.80	Facility		$121.14	$2,902.00	$11,051.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $130.25 / $245.67	Professional		$83.21	$130.25	$245.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $75,077.00	Facility		$1,691.00	$3,366.00	$75,077.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $156.22 / $316.63	Professional		$122.91	$156.22	$316.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.67 / $1,716.00 / $6,213.00	Facility		$121.67	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $121.67 / $192.81	Professional		$121.67	$121.67	$192.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $10,361.00 / $10,772.00	Facility		$143.76	$10,361.00	$10,772.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $172.58 / $406.92	Professional		$88.78	$172.58	$406.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $169.10 / $610.00	Facility		$100.29	$169.10	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $170.61 / $259.38	Professional		$134.94	$170.61	$259.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $174.13 / $221.84	Professional		$99.89	$174.13	$221.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.44 / $1,439.06 / $2,916.16	Facility		$733.44	$1,439.06	$2,916.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $10,361.00 / $11,072.00	Facility		$143.76	$10,361.00	$11,072.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $177.08 / $372.12	Professional		$101.97	$177.08	$372.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $167.13 / $389.93	Professional		$130.51	$167.13	$389.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.27 / $152.22 / $152.22	Facility		$132.27	$152.22	$152.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $183.19 / $237.35	Professional		$99.89	$183.19	$237.35