Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $5,576.00 / $11,396.00	Facility		$268.70	$5,576.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.85 / $261.52 / $605.60	Professional		$213.85	$261.52	$605.60
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 $189.46 / $247.67 / $576.88	Professional		$189.46	$247.67	$576.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $2,644.00 / $12,319.50	Facility		$308.58	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $308.58 / $344.88	Professional		$308.58	$308.58	$344.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.69 / $373.69 / $7,289.38	Facility		$373.69	$373.69	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $414.43 / $848.54	Professional		$274.62	$414.43	$848.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $400.00 / $8,640.00	Facility		$250.00	$400.00	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $388.37 / $1,000.00	Professional		$299.06	$388.37	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $349.50 / $1,540.00	Professional		$192.33	$349.50	$1,540.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,130.21 / $5,130.21 / $5,130.21	Facility		$5,130.21	$5,130.21	$5,130.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $373.69 / $7,289.38 / $11,528.00	Facility		$373.69	$7,289.38	$11,528.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.56 / $459.08 / $918.78	Professional		$275.56	$459.08	$918.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,370.00 / $11,003.00	Facility		$2,264.00	$4,370.00	$11,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $324.45 / $730.67	Professional		$227.24	$324.45	$730.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.56 / $240.56 / $734.74	Facility		$240.56	$240.56	$734.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $349.50 / $1,540.00	Professional		$202.97	$349.50	$1,540.00