Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,316.00 / $7,307.00	Facility		$645.00	$3,316.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.65 / $566.41 / $882.03	Professional		$382.65	$566.41	$882.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.78 / $453.32 / $1,119.74	Professional		$346.78	$453.32	$1,119.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $653.94 / $1,254.00 / $4,050.00	Facility		$653.94	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $653.94 / $653.94 / $653.94	Professional		$653.94	$653.94	$653.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.97 / $526.97 / $3,479.91	Facility		$526.97	$526.97	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.91 / $805.20 / $1,797.53	Professional		$448.91	$805.20	$1,797.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $440.00 / $1,174.30	Facility		$250.00	$440.00	$1,174.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $521.91 / $625.10 / $935.49	Professional		$521.91	$625.10	$935.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $506.01 / $833.43	Professional		$366.62	$506.01	$833.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.14 / $790.14 / $790.14	Facility		$790.14	$790.14	$790.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $526.97 / $597.00 / $8,498.00	Facility		$526.97	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $480.16 / $794.56 / $1,679.02	Professional		$480.16	$794.56	$1,679.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.51 / $575.66 / $1,452.75	Professional		$387.51	$575.66	$1,452.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $595.30 / $595.30 / $1,659.00	Facility		$595.30	$595.30	$1,659.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $573.25 / $972.35	Professional		$366.62	$573.25	$972.35