Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.96 / $3,951.00 / $9,038.00	Facility		$642.96	$3,951.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $609.66 / $1,104.52	Professional		$534.32	$609.66	$1,104.52
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 $376.53 / $492.20 / $1,117.42	Professional		$376.53	$492.20	$1,117.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $636.16 / $1,716.00 / $6,213.00	Facility		$636.16	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $636.16 / $636.16 / $636.16	Professional		$636.16	$636.16	$636.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.78 / $519.78 / $4,612.43	Facility		$519.78	$519.78	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.44 / $771.04 / $1,693.14	Professional		$390.44	$771.04	$1,693.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $655.00 / $1,216.15	Facility		$319.00	$655.00	$1,216.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $486.46 / $648.61 / $935.08	Professional		$486.46	$648.61	$935.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.22 / $490.27 / $737.68	Professional		$345.22	$490.27	$737.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.10 / $537.10 / $537.10	Professional		$537.10	$537.10	$537.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $519.78 / $597.00 / $74,999.25	Facility		$519.78	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $397.72 / $771.04 / $1,669.98	Professional		$397.72	$771.04	$1,669.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $11,098.00	Facility		$2,337.00	$5,963.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.46 / $608.82 / $1,430.39	Professional		$444.46	$608.82	$1,430.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $568.62 / $568.62 / $1,838.99	Facility		$568.62	$568.62	$1,838.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $345.22 / $568.62 / $1,136.11	Professional		$345.22	$568.62	$1,136.11