Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.50 / $3,797.00 / $10,170.00	Facility		$584.50	$3,797.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.64 / $585.73 / $1,483.25	Professional		$456.64	$585.73	$1,483.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,631.88 / $6,722.82 / $12,670.46	Facility		$4,631.88	$6,722.82	$12,670.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.54 / $510.52 / $1,227.80	Professional		$390.54	$510.52	$1,227.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $670.83 / $670.83 / $37,499.62	Facility		$670.83	$670.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $670.83 / $670.83 / $670.83	Professional		$670.83	$670.83	$670.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $7,227.90	Facility		$551.53	$551.53	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $904.77 / $1,816.23	Professional		$560.26	$904.77	$1,816.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $512.62 / $1,308.71	Facility		$319.00	$512.62	$1,308.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.88 / $635.42 / $1,006.25	Professional		$563.88	$635.42	$1,006.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.25 / $453.44 / $880.84	Professional		$286.25	$453.44	$880.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.51 / $1,131.51 / $1,131.51	Professional		$1,131.51	$1,131.51	$1,131.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $555.00 / $7,227.90	Facility		$551.53	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $581.65 / $962.32 / $1,917.91	Professional		$581.65	$962.32	$1,917.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.40 / $640.78 / $1,492.41	Professional		$459.40	$640.78	$1,492.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $512.72 / $1,738.13	Facility		$512.72	$512.72	$1,738.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $286.25 / $512.72 / $996.04	Professional		$286.25	$512.72	$996.04