Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.67 / $2,884.50 / $7,563.00	Facility		$316.67	$2,884.50	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.65 / $354.88 / $712.54	Professional		$225.65	$354.88	$712.54
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 $244.76 / $300.75 / $734.10	Professional		$244.76	$300.75	$734.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $482.90 / $1,990.00 / $8,917.50	Facility		$482.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $482.90 / $482.90 / $482.90	Professional		$482.90	$482.90	$482.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $386.86 / $7,227.90	Facility		$386.86	$386.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.98 / $445.30 / $1,095.70	Professional		$252.98	$445.30	$1,095.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $332.00 / $904.64	Facility		$180.00	$332.00	$904.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $469.48 / $696.37	Professional		$361.85	$469.48	$696.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.91 / $320.91 / $320.91	Facility		$320.91	$320.91	$320.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $408.16 / $633.47	Professional		$213.18	$408.16	$633.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.50 / $778.50 / $778.50	Facility		$778.50	$778.50	$778.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $814.29 / $814.29	Professional		$814.29	$814.29	$814.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $555.00 / $7,227.90	Facility		$386.86	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $459.41 / $1,013.63	Professional		$254.43	$459.41	$1,013.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $3,963.00 / $7,939.00	Facility		$1,711.00	$3,963.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.95 / $381.52 / $877.09	Professional		$255.95	$381.52	$877.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $408.16 / $408.16 / $692.59	Facility		$408.16	$408.16	$692.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $457.77 / $862.79	Professional		$213.18	$457.77	$862.79