Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.64 / $2,902.00 / $9,661.00	Facility		$197.64	$2,902.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $606.35 / $1,069.24	Professional		$130.85	$606.35	$1,069.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.62 / $683.65 / $1,680.06	Professional		$506.62	$683.65	$1,680.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $205.78 / $1,990.00 / $37,499.62	Facility		$205.78	$1,990.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $205.78 / $946.31	Professional		$205.78	$205.78	$946.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.44 / $18,711.00 / $19,581.00	Facility		$247.44	$18,711.00	$19,581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $480.82 / $1,521.76	Professional		$116.59	$480.82	$1,521.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.54 / $247.28 / $819.30	Facility		$150.54	$247.28	$819.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.11 / $752.29 / $1,127.94	Professional		$558.11	$752.29	$1,127.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.82 / $706.92 / $996.03	Professional		$518.82	$706.92	$996.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.30 / $857.30 / $1,360.03	Professional		$857.30	$857.30	$1,360.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $247.44 / $18,711.00 / $74,999.25	Facility		$247.44	$18,711.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $651.47 / $1,602.55	Professional		$166.94	$651.47	$1,602.55
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 $615.94 / $886.65 / $2,130.92	Professional		$615.94	$886.65	$2,130.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $181.01 / $221.26	Facility		$181.01	$181.01	$221.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $656.22 / $1,065.63	Professional		$247.65	$656.22	$1,065.63