Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.44 / $4,905.00 / $11,161.00	Facility		$454.44	$4,905.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.53 / $443.57 / $1,087.75	Professional		$358.53	$443.57	$1,087.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $367.61 / $999.81	Professional		$285.26	$367.61	$999.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.52 / $2,644.00 / $12,319.50	Facility		$524.52	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.52 / $524.52 / $598.04	Professional		$524.52	$524.52	$598.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.76 / $638.76 / $7,289.38	Facility		$638.76	$638.76	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.86 / $697.44 / $1,463.31	Professional		$449.86	$697.44	$1,463.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $779.03 / $1,280.00	Facility		$319.00	$779.03	$1,280.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $577.26 / $899.55	Professional		$511.68	$577.26	$899.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $469.24 / $789.61	Professional		$347.99	$469.24	$789.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,180.92 / $5,138.56 / $7,852.80	Facility		$4,180.92	$5,138.56	$7,852.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $638.76 / $7,289.38	Facility		$555.00	$638.76	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $462.98 / $774.76 / $1,500.39	Professional		$462.98	$774.76	$1,500.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,531.00 / $11,098.00	Facility		$2,264.00	$4,531.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $549.92 / $1,174.83	Professional		$390.51	$549.92	$1,174.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $409.36 / $409.36 / $1,120.82	Facility		$409.36	$409.36	$1,120.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $517.54 / $911.58	Professional		$347.99	$517.54	$911.58