Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.33 / $5,871.78 / $24,298.82	Facility		$1,029.33	$5,871.78	$24,298.82
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $332.41 / $498.86 / $650.28	Facility	52	$332.41	$498.86	$650.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.82 / $987.66 / $2,256.55	Professional		$664.82	$987.66	$2,256.55
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 $638.61 / $834.79 / $2,084.15	Professional		$638.61	$834.79	$2,084.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,027.91 / $2,390.00 / $10,957.50	Facility		$1,027.91	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,027.91 / $1,027.91 / $1,027.91	Professional		$1,027.91	$1,027.91	$1,027.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.22 / $828.22 / $6,511.02	Facility		$828.22	$828.22	$6,511.02
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $648.11 / $648.11 / $648.11	Facility	52	$648.11	$648.11	$648.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.55 / $1,356.96 / $2,950.08	Professional		$668.55	$1,356.96	$2,950.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,153.00 / $1,862.12	Facility		$319.00	$1,153.00	$1,862.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $827.61 / $988.29 / $2,044.20	Professional		$827.61	$988.29	$2,044.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.34 / $886.06 / $1,317.63	Professional		$614.34	$886.06	$1,317.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,081.42 / $5,359.46 / $9,890.50	Facility		$3,081.42	$5,359.46	$9,890.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $828.22 / $8,498.00	Facility		$597.00	$828.22	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $648.11 / $648.11 / $648.11	Facility	52	$648.11	$648.11	$648.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $773.78 / $1,287.17 / $2,950.08	Professional		$773.78	$1,287.17	$2,950.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.29 / $913.64 / $2,346.79	Professional		$632.29	$913.64	$2,346.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $941.16 / $941.16 / $2,926.80	Facility		$941.16	$941.16	$2,926.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $941.16 / $1,537.26	Professional		$638.00	$941.16	$1,537.26