Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.05 / $3,205.00 / $8,134.00	Facility		$468.05	$3,205.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $521.35 / $1,037.38	Professional		$344.12	$521.35	$1,037.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.97 / $461.40 / $1,203.99	Professional		$352.97	$461.40	$1,203.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $500.32 / $1,716.00 / $6,213.00	Facility		$500.32	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $500.32 / $500.32 / $713.27	Professional		$500.32	$500.32	$713.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.57 / $606.57 / $606.57	Facility		$606.57	$606.57	$606.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $595.04 / $1,449.15	Professional		$335.36	$595.04	$1,449.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $405.76 / $943.38	Facility		$310.00	$405.76	$943.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.45 / $700.17 / $1,446.93	Professional		$592.45	$700.17	$1,446.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $469.82 / $936.60	Professional		$407.34	$469.82	$936.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,370.35 / $6,370.35 / $6,370.35	Facility		$6,370.35	$6,370.35	$6,370.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $606.57 / $74,999.25	Facility		$555.00	$606.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.66 / $640.16 / $1,635.97	Professional		$384.66	$640.16	$1,635.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $572.97 / $1,235.14	Professional		$400.38	$572.97	$1,235.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $430.13 / $430.13 / $1,434.87	Facility		$430.13	$430.13	$1,434.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $603.48 / $1,136.55	Professional		$415.83	$603.48	$1,136.55