Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $2,792.00 / $7,028.00	Facility		$129.38	$2,792.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $198.70 / $379.87	Professional		$75.33	$198.70	$379.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $213.39 / $491.39	Professional		$166.92	$213.39	$491.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $1,254.00 / $4,050.00	Facility		$100.96	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $100.96 / $308.66	Professional		$100.96	$100.96	$308.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $122.40 / $3,479.91	Facility		$122.40	$122.40	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $244.94 / $643.78	Professional		$87.44	$244.94	$643.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $186.01 / $381.30	Facility		$87.71	$186.01	$381.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $332.50 / $417.71	Professional		$120.00	$332.50	$417.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $482.13	Facility		$198.85	$198.85	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $257.27 / $399.31	Professional		$186.65	$257.27	$399.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,437.70 / $3,437.70 / $3,824.07	Facility		$3,437.70	$3,437.70	$3,824.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $101.51 / $267.13	Professional		$101.51	$101.51	$267.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $597.00 / $5,855.00	Facility		$122.40	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $268.04 / $624.00	Professional		$103.76	$268.04	$624.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.47 / $245.94 / $624.85	Professional		$174.47	$245.94	$624.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $86.70 / $482.13	Facility		$86.70	$86.70	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $257.27 / $431.79	Professional		$183.27	$257.27	$431.79