Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $2,626.00 / $7,889.68	Facility		$77.98	$2,626.00	$7,889.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $90.37 / $251.21	Professional		$46.00	$90.37	$251.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $73.61 / $184.02	Professional		$59.90	$73.61	$184.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $72.50 / $4,050.00	Facility		$72.50	$72.50	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $146.97	Professional		$72.50	$72.50	$146.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.42 / $86.42 / $14,648.00	Facility		$86.42	$86.42	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $116.28 / $300.45	Professional		$57.75	$116.28	$300.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $94.50 / $332.00	Facility		$56.78	$94.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $146.06 / $226.99	Professional		$111.64	$146.06	$226.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $210.08 / $210.08	Facility		$210.08	$210.08	$210.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $130.94 / $210.08	Professional		$56.96	$130.94	$210.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $497.12 / $3,316.80	Facility		$76.68	$497.12	$3,316.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $226.23 / $266.16	Professional		$222.23	$226.23	$266.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.42 / $86.42 / $74,999.25	Facility		$86.42	$86.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $135.44 / $300.45	Professional		$65.93	$135.44	$300.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $127.36 / $243.16	Professional		$89.87	$127.36	$243.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $57.72 / $194.30	Facility		$57.72	$57.72	$194.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $128.56 / $221.44	Professional		$64.14	$128.56	$221.44