Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.99 / $5,824.00 / $11,051.80	Facility		$876.99	$5,824.00	$11,051.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $788.03 / $1,749.84	Professional		$665.21	$788.03	$1,749.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.81 / $859.44 / $1,617.78	Professional		$677.81	$859.44	$1,617.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $921.82 / $1,990.00 / $8,917.50	Facility		$921.82	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $921.82 / $921.82 / $921.82	Professional		$921.82	$921.82	$921.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.95 / $741.95 / $5,246.94	Facility		$741.95	$741.95	$5,246.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.29 / $72.29 / $72.29	Facility	AS	$72.29	$72.29	$72.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.96 / $1,084.40 / $2,447.27	Professional		$558.96	$1,084.40	$2,447.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,020.00 / $1,728.34	Facility		$319.00	$1,020.00	$1,728.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.34 / $921.78 / $1,328.90	Professional		$691.34	$921.78	$1,328.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.46 / $634.25 / $1,051.25	Professional		$363.46	$634.25	$1,051.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,481.27 / $4,138.81 / $6,959.74	Facility		$3,481.27	$4,138.81	$6,959.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.45 / $704.45 / $1,536.00	Professional		$704.45	$704.45	$1,536.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $741.95 / $74,999.25	Facility		$555.00	$741.95	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $72.29 / $72.29 / $72.29	Facility	AS	$72.29	$72.29	$72.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $572.03 / $1,084.40 / $2,264.89	Professional		$572.03	$1,084.40	$2,264.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.36 / $874.55 / $2,304.34	Professional		$592.36	$874.55	$2,304.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $813.38 / $813.38 / $2,019.21	Facility		$813.38	$813.38	$2,019.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.46 / $813.38 / $1,625.17	Professional		$363.46	$813.38	$1,625.17