Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.61 / $3,621.00 / $9,038.00	Facility		$474.61	$3,621.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $472.07 / $1,027.79	Professional		$331.26	$472.07	$1,027.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.26 / $493.12 / $1,191.53	Professional		$380.26	$493.12	$1,191.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.87 / $1,990.00 / $8,917.50	Facility		$501.87	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $501.87 / $735.82	Professional		$501.87	$501.87	$735.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.16 / $605.48 / $1,310.42	Professional		$300.16	$605.48	$1,310.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $508.00 / $964.87	Facility		$332.00	$508.00	$964.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $724.74 / $1,502.16	Professional		$613.24	$724.74	$1,502.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $484.15 / $963.51	Professional		$412.26	$484.15	$963.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.77 / $519.77 / $519.77	Facility		$519.77	$519.77	$519.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $612.94 / $74,999.25	Facility		$555.00	$612.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.45 / $643.41 / $1,357.58	Professional		$380.45	$643.41	$1,357.58
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.54 / $560.74 / $1,243.41	Professional		$391.54	$560.74	$1,243.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $435.23 / $435.23 / $1,390.43	Facility		$435.23	$435.23	$1,390.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $529.85 / $1,150.04	Professional		$412.26	$529.85	$1,150.04