Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.83 / $3,797.00 / $10,024.00	Facility		$531.83	$3,797.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.54 / $526.50 / $1,055.97	Professional		$413.54	$526.50	$1,055.97
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 $314.52 / $411.16 / $1,019.89	Professional		$314.52	$411.16	$1,019.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.57 / $1,990.00 / $8,917.50	Facility		$549.57	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.57 / $549.57 / $549.57	Professional		$549.57	$549.57	$549.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.79 / $442.79 / $5,246.94	Facility		$442.79	$442.79	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $756.61 / $1,580.17	Professional		$375.00	$756.61	$1,580.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $727.00 / $1,369.60	Facility		$319.00	$727.00	$1,369.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.98 / $525.20 / $1,081.81	Professional		$437.98	$525.20	$1,081.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.31 / $425.66 / $701.10	Professional		$315.31	$425.66	$701.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,170.05 / $5,887.00 / $7,081.74	Facility		$3,170.05	$5,887.00	$7,081.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $442.79 / $597.00 / $8,498.00	Facility		$442.79	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $766.47 / $1,580.17	Professional		$412.26	$766.47	$1,580.17
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 $348.50 / $491.14 / $1,257.40	Professional		$348.50	$491.14	$1,257.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.78 / $500.78 / $1,783.21	Facility		$500.78	$500.78	$1,783.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.21 / $482.22 / $817.96	Professional		$362.21	$482.22	$817.96