Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.33 / $5,164.00 / $11,550.00	Facility		$469.33	$5,164.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $450.31 / $943.60	Professional		$324.70	$450.31	$943.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $345.84 / $927.57	Professional		$273.89	$345.84	$927.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $527.04 / $1,990.00 / $8,917.50	Facility		$527.04	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $527.04 / $527.04 / $527.04	Professional		$527.04	$527.04	$527.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.60 / $424.60 / $12,209.00	Facility		$424.60	$424.60	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.81 / $630.46 / $1,341.93	Professional		$368.81	$630.46	$1,341.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $635.28 / $1,364.97	Facility		$332.00	$635.28	$1,364.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $566.62 / $1,068.77	Professional		$432.70	$566.62	$1,068.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $363.16 / $684.02	Professional		$304.41	$363.16	$684.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.40 / $1,471.01 / $2,740.02	Facility		$694.40	$1,471.01	$2,740.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $424.60 / $597.00 / $12,209.00	Facility		$424.60	$597.00	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $385.84 / $630.46 / $1,341.93	Professional		$385.84	$630.46	$1,341.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,403.00	Facility		$2,444.00	$7,391.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.49 / $512.53 / $1,055.96	Professional		$374.49	$512.53	$1,055.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $1,221.58	Facility		$427.25	$427.25	$1,221.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $451.29 / $789.67	Professional		$325.19	$451.29	$789.67