Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $2,660.00 / $9,267.00	Facility		$111.98	$2,660.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $160.69 / $309.33	Professional		$81.56	$160.69	$309.33
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 $145.28 / $181.64 / $370.12	Professional		$145.28	$181.64	$370.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $1,254.00 / $4,050.00	Facility		$118.39	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $118.39 / $247.78	Professional		$118.39	$118.39	$247.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $140.38 / $3,479.91	Facility		$140.38	$140.38	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $193.46 / $491.62	Professional		$88.98	$193.46	$491.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $140.10 / $332.00	Facility		$99.00	$140.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $232.97 / $348.65	Professional		$177.68	$232.97	$348.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $160.66 / $482.13	Facility		$160.66	$160.66	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $207.08 / $321.38	Professional		$140.81	$207.08	$321.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,639.87 / $3,435.00 / $4,808.00	Facility		$1,639.87	$3,435.00	$4,808.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $103.34 / $198.56	Professional		$76.56	$103.34	$198.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $555.00 / $3,479.91	Facility		$140.38	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $218.40 / $488.52	Professional		$100.75	$218.40	$488.52
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 $143.88 / $202.39 / $466.54	Professional		$143.88	$202.39	$466.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $482.13	Facility		$97.70	$97.70	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $215.35 / $347.53	Professional		$153.88	$215.35	$347.53