Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.00 / $2,985.00 / $8,134.00	Facility		$503.00	$2,985.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $410.84 / $975.38	Professional		$316.81	$410.84	$975.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.76 / $339.90 / $855.28	Professional		$263.76	$339.90	$855.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $500.99 / $1,254.00 / $4,050.00	Facility		$500.99	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $500.99 / $500.99 / $500.99	Professional		$500.99	$500.99	$500.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $424.06	Facility		$424.06	$424.06	$424.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.04 / $538.64 / $1,517.77	Professional		$343.04	$538.64	$1,517.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $641.20 / $1,155.20	Facility		$332.00	$641.20	$1,155.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $582.08 / $860.90	Professional		$408.02	$582.08	$860.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.38 / $350.38 / $350.38	Facility		$350.38	$350.38	$350.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.98 / $480.45 / $788.28	Professional		$268.98	$480.45	$788.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.61 / $822.61 / $822.61	Facility		$822.61	$822.61	$822.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.16 / $516.16 / $516.16	Professional		$516.16	$516.16	$516.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $555.00 / $597.00	Facility		$424.06	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $553.25 / $1,436.57	Professional		$367.01	$553.25	$1,436.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.85 / $500.29 / $1,244.79	Professional		$319.85	$500.29	$1,244.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $433.99 / $433.99 / $1,455.95	Facility		$433.99	$433.99	$1,455.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $480.45 / $944.30	Professional		$303.87	$480.45	$944.30