Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.72 / $3,987.03 / $9,648.00	Facility		$391.72	$3,987.03	$9,648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.54 / $351.90 / $779.72	Professional		$286.54	$351.90	$779.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.61 / $302.77 / $711.11	Professional		$231.61	$302.77	$711.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $404.41 / $1,990.00 / $8,917.50	Facility		$404.41	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $404.41 / $404.41	Professional		$404.41	$404.41	$404.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.81 / $325.81 / $5,246.94	Facility		$325.81	$325.81	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.25 / $508.74 / $1,114.04	Professional		$278.25	$508.74	$1,114.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $483.00 / $772.80	Facility		$298.75	$483.00	$772.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.07 / $386.96 / $797.98	Professional		$323.07	$386.96	$797.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $346.93 / $516.40	Professional		$227.19	$346.93	$516.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,446.44 / $4,629.09 / $8,372.00	Facility		$2,446.44	$4,629.09	$8,372.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.81 / $597.00 / $8,498.00	Facility		$325.81	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $534.79 / $1,135.75	Professional		$303.12	$534.79	$1,135.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $360.43 / $802.56	Professional		$249.47	$360.43	$802.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $368.85 / $368.85 / $1,009.95	Facility		$368.85	$368.85	$1,009.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $368.85 / $602.47	Professional		$227.19	$368.85	$602.47