Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.41 / $2,933.85 / $7,307.00	Facility		$226.41	$2,933.85	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $324.07 / $595.12	Professional		$159.24	$324.07	$595.12
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 $243.88 / $309.23 / $728.04	Professional		$243.88	$309.23	$728.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $1,716.00 / $6,213.00	Facility		$213.02	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.02 / $213.02 / $473.71	Professional		$213.02	$213.02	$473.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $257.83 / $4,612.43	Facility		$257.83	$257.83	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $407.20 / $1,143.21	Professional		$175.44	$407.20	$1,143.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $259.00 / $448.07	Facility		$168.00	$259.00	$448.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.93 / $411.73 / $869.79	Professional		$316.93	$411.73	$869.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $357.42 / $588.69	Professional		$264.76	$357.42	$588.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,929.06 / $3,442.80 / $6,541.79	Facility		$1,929.06	$3,442.80	$6,541.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $597.00 / $8,498.00	Facility		$257.83	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $444.33 / $1,042.33	Professional		$193.53	$444.33	$1,042.33
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 $280.99 / $395.31 / $989.12	Professional		$280.99	$395.31	$989.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $530.05	Facility		$194.90	$194.90	$530.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $371.29 / $653.42	Professional		$264.76	$371.29	$653.42