Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.03 / $3,938.00 / $9,038.00	Facility		$655.03	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.03 / $592.33 / $943.26	Professional		$393.03	$592.33	$943.26
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 $366.06 / $471.73 / $1,195.25	Professional		$366.06	$471.73	$1,195.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $686.44 / $1,716.00 / $6,213.00	Facility		$686.44	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $686.44 / $686.44 / $686.44	Professional		$686.44	$686.44	$686.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.86 / $553.86 / $4,612.43	Facility		$553.86	$553.86	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $840.22 / $1,905.98	Professional		$459.15	$840.22	$1,905.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $549.71 / $1,255.82	Facility		$319.00	$549.71	$1,255.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.11 / $680.93 / $994.06	Professional		$567.11	$680.93	$994.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.47 / $595.51 / $884.87	Professional		$366.47	$595.51	$884.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,003.36 / $3,003.36 / $3,003.36	Facility		$3,003.36	$3,003.36	$3,003.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $553.86 / $555.00 / $4,612.43	Facility		$553.86	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $498.45 / $831.63 / $1,748.56	Professional		$498.45	$831.63	$1,748.56
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 $429.78 / $607.86 / $1,664.08	Professional		$429.78	$607.86	$1,664.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $632.04 / $632.04 / $1,681.20	Facility		$632.04	$632.04	$1,681.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $366.47 / $632.04 / $1,032.35	Professional		$366.47	$632.04	$1,032.35