Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.36 / $3,841.00 / $9,254.95	Facility		$299.36	$3,841.00	$9,254.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.19 / $302.79 / $658.80	Professional		$212.19	$302.79	$658.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $4,330.00 / $9,316.00	Facility		$2,448.00	$4,330.00	$9,316.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $278.18 / $747.43	Professional		$212.80	$278.18	$747.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $327.81 / $1,716.00 / $6,213.00	Facility		$327.81	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $327.81 / $327.81 / $416.62	Professional		$327.81	$327.81	$416.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.56 / $395.56 / $4,612.43	Facility		$395.56	$395.56	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.97 / $413.26 / $959.22	Professional		$242.97	$413.26	$959.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $407.66 / $672.00	Facility		$250.00	$407.66	$672.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.14 / $434.72 / $852.50	Professional		$345.14	$434.72	$852.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.32 / $290.73 / $547.60	Professional		$231.32	$290.73	$547.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.22 / $2,217.63 / $4,588.59	Facility		$1,228.22	$2,217.63	$4,588.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $395.56 / $4,612.43 / $12,736.00	Facility		$395.56	$4,612.43	$12,736.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $271.74 / $427.75 / $1,004.88	Professional		$271.74	$427.75	$1,004.88
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 $252.94 / $388.66 / $736.41	Professional		$252.94	$388.66	$736.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $268.17 / $268.17 / $709.60	Facility		$268.17	$268.17	$709.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.08 / $358.98 / $604.02	Professional		$234.08	$358.98	$604.02