Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $4,392.00 / $10,170.00	Facility		$545.41	$4,392.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.53 / $529.92 / $1,024.63	Professional		$408.53	$529.92	$1,024.63
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 $305.52 / $393.72 / $999.03	Professional		$305.52	$393.72	$999.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $576.47 / $1,990.00 / $8,917.50	Facility		$576.47	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $576.47 / $576.47 / $576.47	Professional		$576.47	$576.47	$576.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.43 / $465.43 / $5,246.94	Facility		$465.43	$465.43	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $710.20 / $1,605.00	Professional		$380.55	$710.20	$1,605.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $630.00 / $1,059.55	Facility		$319.00	$630.00	$1,059.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $470.91 / $559.60 / $837.47	Professional		$470.91	$559.60	$837.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $496.91 / $751.76	Professional		$335.43	$496.91	$751.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,412.89 / $4,412.89 / $9,602.56	Facility		$4,412.89	$4,412.89	$9,602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $465.43 / $555.00 / $5,246.94	Facility		$465.43	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $419.76 / $701.66 / $1,539.82	Professional		$419.76	$701.66	$1,539.82
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 $323.82 / $504.67 / $1,138.65	Professional		$323.82	$504.67	$1,138.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $548.53 / $548.53 / $1,344.81	Facility		$548.53	$548.53	$1,344.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.54 / $548.53 / $870.16	Professional		$338.54	$548.53	$870.16