Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.37 / $2,922.00 / $8,442.00	Facility		$349.37	$2,922.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.43 / $515.25 / $901.56	Professional		$267.43	$515.25	$901.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.53 / $500.04 / $1,281.35	Professional		$382.53	$500.04	$1,281.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.88 / $1,716.00 / $6,213.00	Facility		$347.88	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $347.88 / $781.88	Professional		$347.88	$347.88	$781.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $421.30 / $4,612.43	Facility		$421.30	$421.30	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $613.99 / $1,568.67	Professional		$261.58	$613.99	$1,568.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $325.00 / $629.35	Facility		$258.33	$325.00	$629.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $531.91 / $691.22 / $1,034.44	Professional		$531.91	$691.22	$1,034.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.58 / $619.72 / $971.04	Professional		$429.58	$619.72	$971.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,006.06 / $2,006.06 / $2,006.06	Facility		$2,006.06	$2,006.06	$2,006.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $597.00 / $8,498.00	Facility		$421.30	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $304.66 / $676.68 / $1,603.13	Professional		$304.66	$676.68	$1,603.13
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 $425.80 / $649.70 / $1,692.57	Professional		$425.80	$649.70	$1,692.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $317.45 / $868.59	Facility		$317.45	$317.45	$868.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.20 / $693.60 / $1,077.83	Professional		$371.20	$693.60	$1,077.83