Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.85 / $3,103.00 / $9,038.00	Facility		$211.85	$3,103.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $216.59 / $449.49	Professional		$155.94	$216.59	$449.49
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 $132.58 / $167.40 / $468.92	Professional		$132.58	$167.40	$468.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $242.69 / $1,716.00 / $6,213.00	Facility		$242.69	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $242.69 / $316.69	Professional		$242.69	$242.69	$316.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $291.89 / $4,612.43	Facility		$291.89	$291.89	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $302.76 / $704.40	Professional		$179.37	$302.76	$704.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.92 / $266.72 / $454.32	Facility		$201.92	$266.72	$454.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $307.83 / $460.69	Professional		$265.97	$307.83	$460.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $264.13 / $422.87	Professional		$164.83	$264.13	$422.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.39 / $4,295.39 / $4,295.39	Facility		$4,295.39	$4,295.39	$4,295.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $555.00 / $4,612.43	Facility		$291.89	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $330.74 / $704.40	Professional		$204.56	$330.74	$704.40
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 $203.31 / $293.32 / $547.26	Professional		$203.31	$293.32	$547.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $198.93 / $198.93 / $545.03	Facility		$198.93	$198.93	$545.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $276.00 / $466.44	Professional		$164.83	$276.00	$466.44