Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.89 / $4,663.00 / $10,024.00	Facility		$769.89	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $707.69 / $1,505.84	Professional		$536.21	$707.69	$1,505.84
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 $458.65 / $591.04 / $1,545.15	Professional		$458.65	$591.04	$1,545.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $857.13 / $1,990.00 / $8,917.50	Facility		$857.13	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $857.13 / $857.13 / $857.13	Professional		$857.13	$857.13	$857.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.82 / $694.82 / $5,246.94	Facility		$694.82	$694.82	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.69 / $971.15 / $2,564.23	Professional		$577.69	$971.15	$2,564.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $950.00 / $1,605.80	Facility		$319.00	$950.00	$1,605.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $713.69 / $826.92 / $1,237.53	Professional		$713.69	$826.92	$1,237.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.13 / $703.64 / $1,126.51	Professional		$465.13	$703.64	$1,126.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,887.00 / $5,887.00 / $5,887.00	Facility		$5,887.00	$5,887.00	$5,887.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $694.82 / $5,246.94	Facility		$555.00	$694.82	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.15 / $1,044.80 / $2,291.09	Professional		$600.15	$1,044.80	$2,291.09
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 $577.02 / $820.90 / $1,691.77	Professional		$577.02	$820.90	$1,691.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $703.64 / $703.64 / $1,636.17	Facility		$703.64	$703.64	$1,636.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.13 / $739.25 / $1,300.52	Professional		$465.13	$739.25	$1,300.52