Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.71 / $3,525.00 / $10,170.00	Facility		$354.71	$3,525.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $322.72 / $712.16	Professional		$272.48	$322.72	$712.16
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 $191.67 / $247.00 / $635.02	Professional		$191.67	$247.00	$635.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $370.97 / $1,990.00 / $8,917.50	Facility		$370.97	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $370.97 / $370.97 / $370.97	Professional		$370.97	$370.97	$370.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $298.27 / $5,246.94	Facility		$298.27	$298.27	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $458.16 / $1,021.92	Professional		$245.64	$458.16	$1,021.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.31 / $445.07 / $723.20	Facility		$274.31	$445.07	$723.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $355.24 / $531.63	Professional		$296.70	$355.24	$531.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $287.13 / $472.92	Professional		$208.36	$287.13	$472.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,135.41 / $3,482.59 / $10,209.87	Facility		$2,135.41	$3,482.59	$10,209.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $597.00 / $8,498.00	Facility		$298.27	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $478.83 / $1,040.29	Professional		$272.97	$478.83	$1,040.29
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 $228.77 / $330.89 / $817.19	Professional		$228.77	$330.89	$817.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $337.80 / $926.97	Facility		$337.80	$337.80	$926.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $325.27 / $551.75	Professional		$208.36	$325.27	$551.75