Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $2,792.00 / $7,362.37	Facility		$162.37	$2,792.00	$7,362.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $202.34 / $482.46	Professional		$112.20	$202.34	$482.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $197.21 / $502.68	Professional		$154.09	$197.21	$502.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.80 / $1,254.00 / $4,050.00	Facility		$169.80	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $169.80 / $353.14	Professional		$169.80	$169.80	$353.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $205.53 / $3,479.91	Facility		$205.53	$205.53	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $278.36 / $698.90	Professional		$129.11	$278.36	$698.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $159.88 / $332.00	Facility		$32.00	$159.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $337.30 / $500.99	Professional		$260.63	$337.30	$500.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.93 / $229.93 / $482.13	Facility		$229.93	$229.93	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $282.29 / $464.41	Professional		$147.18	$282.29	$464.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.79 / $1,270.95 / $3,452.57	Facility		$1,202.79	$1,270.95	$3,452.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $325.95 / $603.78	Professional		$290.64	$325.95	$603.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $555.00 / $3,479.91	Facility		$205.53	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $301.83 / $658.48	Professional		$138.38	$301.83	$658.48
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 $166.31 / $258.47 / $639.45	Professional		$166.31	$258.47	$639.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.02 / $146.02 / $415.70	Facility		$146.02	$146.02	$415.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $311.19 / $475.15	Professional		$147.18	$311.19	$475.15