Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.80 / $4,911.00 / $11,396.00	Facility		$496.80	$4,911.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $405.42 / $657.72	Professional		$324.11	$405.42	$657.72
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 $266.55 / $343.50 / $914.85	Professional		$266.55	$343.50	$914.85
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 $367.71 / $628.94 / $1,341.93	Professional		$367.71	$628.94	$1,341.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $635.28 / $1,406.49	Facility		$332.00	$635.28	$1,406.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $503.37 / $753.32	Professional		$432.70	$503.37	$753.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $427.25 / $684.02	Professional		$304.41	$427.25	$684.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,951.70 / $5,951.70 / $6,347.30	Facility		$5,951.70	$5,951.70	$6,347.30
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 $385.16 / $628.94 / $1,341.93	Professional		$385.16	$628.94	$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 $369.28 / $509.71 / $973.93	Professional		$369.28	$509.71	$973.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $1,222.51	Facility		$427.25	$427.25	$1,222.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $325.54 / $451.29 / $789.67	Professional		$325.54	$451.29	$789.67