Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.62 / $4,910.00 / $9,665.00	Facility		$473.62	$4,910.00	$9,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $458.16 / $1,004.07	Professional		$270.44	$458.16	$1,004.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,359.00 / $21,263.00	Facility		$4,100.00	$7,359.00	$21,263.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $289.73 / $880.83	Professional		$224.83	$289.73	$880.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $443.81 / $1,990.00 / $8,917.50	Facility		$443.81	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $443.81 / $443.81 / $443.81	Professional		$443.81	$443.81	$443.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $357.20 / $5,246.94	Facility		$357.20	$357.20	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.24 / $583.90 / $1,155.58	Professional		$323.24	$583.90	$1,155.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $540.20 / $947.20	Facility		$319.00	$540.20	$947.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $360.13 / $439.36 / $879.59	Professional		$360.13	$439.36	$879.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $706.94 / $994.27	Professional		$283.14	$706.94	$994.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.18 / $8,199.87 / $9,729.95	Facility		$1,485.18	$8,199.87	$9,729.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $555.00 / $5,246.94	Facility		$357.20	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $347.17 / $575.59 / $1,372.29	Professional		$347.17	$575.59	$1,372.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,768.00 / $12,699.00	Facility		$2,264.00	$5,768.00	$12,699.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $453.15 / $992.36	Professional		$330.58	$453.15	$992.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.58 / $355.58 / $1,402.60	Facility		$355.58	$355.58	$1,402.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.12 / $706.94 / $994.27	Professional		$318.12	$706.94	$994.27