Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $2,626.00 / $7,563.00	Facility		$43.03	$2,626.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $65.75 / $238.17	Professional		$29.82	$65.75	$238.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $159.50 / $376.22	Professional		$110.54	$159.50	$376.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $43.38 / $4,050.00	Facility		$43.38	$43.38	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.38 / $209.06	Professional		$43.38	$43.38	$209.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $14,648.00	Facility		$51.10	$51.10	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $98.27 / $349.81	Professional		$28.97	$98.27	$349.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.38 / $332.00	Facility		$30.90	$50.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $187.53 / $281.29	Professional		$138.34	$187.53	$281.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $175.31 / $284.87	Professional		$122.73	$175.31	$284.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.93 / $273.93 / $778.20	Facility		$273.93	$273.93	$778.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $44.11 / $184.50	Professional		$27.99	$44.11	$184.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $597.00	Facility		$51.10	$51.10	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $157.16 / $404.79	Professional		$30.96	$157.16	$404.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $169.54 / $421.12	Professional		$125.30	$169.54	$421.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $108.00	Facility		$35.92	$35.92	$108.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $161.49 / $284.87	Professional		$93.34	$161.49	$284.87