Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $2,626.00 / $7,521.00	Facility		$75.44	$2,626.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $784.99 / $2,187.23	Professional		$57.39	$784.99	$2,187.23
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 $650.13 / $856.50 / $2,315.14	Professional		$650.13	$856.50	$2,315.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $72.09 / $4,050.00	Facility		$72.09	$72.09	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $72.09 / $1,397.97	Professional		$72.09	$72.09	$1,397.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $7,227.90	Facility		$86.50	$86.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $210.17 / $2,683.08	Professional		$60.17	$210.17	$2,683.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $85.79 / $332.00	Facility		$57.19	$85.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $854.26 / $1,091.15 / $1,642.08	Professional		$854.26	$1,091.15	$1,642.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.48 / $914.05 / $1,532.43	Professional		$714.48	$914.05	$1,532.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.61 / $1,631.00 / $5,771.96	Facility		$822.61	$1,631.00	$5,771.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $597.00 / $8,498.00	Facility		$86.50	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $1,065.71 / $2,767.29	Professional		$67.30	$1,065.71	$2,767.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.92 / $1,169.71 / $3,151.01	Professional		$788.92	$1,169.71	$3,151.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $64.69 / $183.65	Facility		$64.69	$64.69	$183.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $914.05 / $1,532.43	Professional		$160.19	$914.05	$1,532.43