Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.25 / $3,100.00 / $8,134.00	Facility		$367.25	$3,100.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $403.66 / $816.79	Professional		$296.27	$403.66	$816.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $336.51 / $938.58	Professional		$257.43	$336.51	$938.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $406.28 / $1,716.00 / $6,213.00	Facility		$406.28	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $406.28 / $540.44	Professional		$406.28	$406.28	$540.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.06 / $477.06 / $4,612.43	Facility		$477.06	$477.06	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $584.10 / $1,345.50	Professional		$282.01	$584.10	$1,345.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $332.00 / $739.31	Facility		$266.00	$332.00	$739.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.89 / $504.75 / $755.38	Professional		$429.89	$504.75	$755.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $444.93 / $690.53	Professional		$305.36	$444.93	$690.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,437.29 / $5,437.29 / $5,437.29	Facility		$5,437.29	$5,437.29	$5,437.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $477.06 / $555.00 / $4,612.43	Facility		$477.06	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $595.16 / $1,345.50	Professional		$308.87	$595.16	$1,345.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $470.10 / $1,075.16	Professional		$305.57	$470.10	$1,075.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.29 / $340.29 / $1,185.78	Facility		$340.29	$340.29	$1,185.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $462.72 / $784.87	Professional		$305.36	$462.72	$784.87