Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $2,892.00 / $7,735.00	Facility		$503.76	$2,892.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $488.86 / $954.31	Professional		$325.16	$488.86	$954.31
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 $402.31 / $510.12 / $1,204.52	Professional		$402.31	$510.12	$1,204.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $1,716.00 / $6,213.00	Facility		$528.79	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $528.79 / $768.47	Professional		$528.79	$528.79	$768.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.08 / $625.08 / $1,424.38	Facility		$625.08	$625.08	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $575.29 / $1,238.34	Professional		$312.60	$575.29	$1,238.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $402.50 / $966.02	Facility		$332.00	$402.50	$966.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $590.45 / $714.24 / $1,123.59	Professional		$590.45	$714.24	$1,123.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $492.58 / $1,124.68	Professional		$284.60	$492.58	$1,124.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.79 / $457.79 / $457.79	Professional		$457.79	$457.79	$457.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $625.08 / $74,999.25	Facility		$555.00	$625.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $644.87 / $1,322.54	Professional		$355.57	$644.87	$1,322.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.98 / $599.73 / $1,325.21	Professional		$454.98	$599.73	$1,325.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $516.54 / $516.54 / $1,131.35	Facility		$516.54	$516.54	$1,131.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $730.67 / $1,133.77	Professional		$284.60	$730.67	$1,133.77