Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.22 / $4,640.82 / $10,664.00	Facility		$572.22	$4,640.82	$10,664.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.24 / $558.13 / $1,074.03	Professional		$429.24	$558.13	$1,074.03
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 $324.23 / $417.83 / $1,059.54	Professional		$324.23	$417.83	$1,059.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $608.01 / $2,390.00 / $10,957.50	Facility		$608.01	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $608.01 / $608.01	Professional		$608.01	$608.01	$608.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.25 / $490.25 / $6,511.02	Facility		$490.25	$490.25	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.24 / $743.00 / $1,690.12	Professional		$414.24	$743.00	$1,690.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $678.00 / $1,111.83	Facility		$319.00	$678.00	$1,111.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.15 / $588.41 / $880.59	Professional		$494.15	$588.41	$880.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $490.25 / $790.46	Professional		$351.14	$490.25	$790.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,048.78 / $3,048.78 / $3,048.78	Facility		$3,048.78	$3,048.78	$3,048.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $490.25 / $555.00 / $6,511.02	Facility		$490.25	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $451.93 / $743.00 / $1,550.64	Professional		$451.93	$743.00	$1,550.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.84 / $538.21 / $1,332.70	Professional		$341.84	$538.21	$1,332.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $576.76 / $576.76 / $1,423.71	Facility		$576.76	$576.76	$1,423.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $539.41 / $914.95	Professional		$351.14	$539.41	$914.95