Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.76 / $4,392.00 / $9,868.00	Facility		$519.76	$4,392.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $521.48 / $1,034.83	Professional		$408.10	$521.48	$1,034.83
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 $352.55 / $460.85 / $984.05	Professional		$352.55	$460.85	$984.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $591.20 / $1,990.00 / $8,917.50	Facility		$591.20	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $591.20 / $591.20 / $591.20	Professional		$591.20	$591.20	$591.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.28 / $444.28 / $5,246.94	Facility		$444.28	$444.28	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $691.21 / $1,567.65	Professional		$332.75	$691.21	$1,567.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $476.00 / $1,041.61	Facility		$319.00	$476.00	$1,041.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $555.53 / $800.89	Professional		$416.65	$555.53	$800.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $401.79 / $663.94	Professional		$272.20	$401.79	$663.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.40 / $3,090.40 / $3,090.40	Facility		$3,090.40	$3,090.40	$3,090.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.28 / $597.00 / $74,999.25	Facility		$444.28	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $677.04 / $1,469.83	Professional		$332.75	$677.04	$1,469.83
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 $393.67 / $537.08 / $1,258.96	Professional		$393.67	$537.08	$1,258.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $486.98 / $1,373.54	Facility		$486.98	$486.98	$1,373.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $557.21 / $973.00	Professional		$272.20	$557.21	$973.00