Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.29 / $4,938.83 / $11,448.66	Facility		$601.29	$4,938.83	$11,448.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $586.26 / $1,203.58	Professional		$455.97	$586.26	$1,203.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,679.00 / $18,161.00	Facility		$2,393.00	$4,679.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.67 / $511.99 / $1,114.30	Professional		$391.67	$511.99	$1,114.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $639.54 / $2,390.00 / $10,957.50	Facility		$639.54	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $639.54 / $639.54	Professional		$639.54	$639.54	$639.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.02 / $516.02 / $6,511.02	Facility		$516.02	$516.02	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.95 / $788.52 / $1,776.57	Professional		$427.95	$788.52	$1,776.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $719.00 / $1,168.52	Facility		$319.00	$719.00	$1,168.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $519.34 / $618.79 / $926.07	Professional		$519.34	$618.79	$926.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.97 / $549.50 / $831.41	Professional		$370.97	$549.50	$831.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,678.40 / $5,955.63 / $9,733.39	Facility		$1,678.40	$5,955.63	$9,733.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $516.02 / $555.00 / $6,511.02	Facility		$516.02	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $464.34 / $773.82 / $1,681.00	Professional		$464.34	$773.82	$1,681.00
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 $377.35 / $565.47 / $1,354.95	Professional		$377.35	$565.47	$1,354.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $606.64 / $606.64 / $1,499.97	Facility		$606.64	$606.64	$1,499.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $606.64 / $962.35	Professional		$372.49	$606.64	$962.35