Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $3,808.00 / $9,267.00	Facility		$616.00	$3,808.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $557.10 / $1,181.05	Professional		$406.00	$557.10	$1,181.05
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 $345.28 / $444.95 / $1,125.55	Professional		$345.28	$444.95	$1,125.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $646.65 / $1,254.00 / $4,050.00	Facility		$646.65	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $646.65 / $646.65	Professional		$646.65	$646.65	$646.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.48 / $521.48 / $3,479.91	Facility		$521.48	$521.48	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.13 / $791.03 / $1,796.04	Professional		$401.13	$791.03	$1,796.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $565.00 / $1,179.32	Facility		$319.00	$565.00	$1,179.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.14 / $624.75 / $934.97	Professional		$524.14	$624.75	$934.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $560.12 / $833.44	Professional		$354.71	$560.12	$833.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,621.77 / $5,621.77 / $5,621.77	Facility		$5,621.77	$5,621.77	$5,621.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $521.48 / $555.00 / $3,479.91	Facility		$521.48	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $780.97 / $1,648.52	Professional		$470.09	$780.97	$1,648.52
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 $387.23 / $570.96 / $1,417.19	Professional		$387.23	$570.96	$1,417.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $595.30 / $595.30 / $1,463.17	Facility		$595.30	$595.30	$1,463.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $595.30 / $972.35	Professional		$354.71	$595.30	$972.35