Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.43 / $5,298.00 / $9,887.53	Facility		$392.43	$5,298.00	$9,887.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $359.37 / $1,515.17	Professional		$272.95	$359.37	$1,515.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $18,161.00	Facility		$4,070.00	$6,992.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $288.26 / $675.28	Professional		$232.13	$288.26	$675.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $406.47 / $1,990.00 / $8,917.50	Facility		$406.47	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $406.47 / $406.47 / $406.47	Professional		$406.47	$406.47	$406.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $331.64 / $5,246.94	Facility		$331.64	$331.64	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $480.98 / $1,045.21	Professional		$228.69	$480.98	$1,045.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $313.07 / $369.00 / $766.51	Facility		$313.07	$369.00	$766.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.60 / $399.58 / $838.05	Professional		$306.60	$399.58	$838.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.57 / $275.57 / $862.75	Facility		$275.57	$275.57	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $343.39 / $539.25	Professional		$240.09	$343.39	$539.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,484.65 / $5,707.70 / $8,216.89	Facility		$2,484.65	$5,707.70	$8,216.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $555.00 / $7,771.36	Facility		$331.64	$555.00	$7,771.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $438.62 / $981.48	Professional		$297.89	$438.62	$981.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,311.00 / $10,065.00	Facility		$1,652.00	$4,311.00	$10,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $340.67 / $741.67	Professional		$246.02	$340.67	$741.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $352.91 / $352.91 / $1,164.91	Facility		$352.91	$352.91	$1,164.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $387.18 / $746.00	Professional		$273.12	$387.18	$746.00