Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.87 / $3,094.00 / $8,442.00	Facility		$492.87	$3,094.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $466.46 / $867.73	Professional		$344.18	$466.46	$867.73
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 $360.00 / $456.47 / $1,013.98	Professional		$360.00	$456.47	$1,013.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $546.65 / $1,716.00 / $6,213.00	Facility		$546.65	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $546.65 / $546.65 / $623.99	Professional		$546.65	$546.65	$623.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $646.05 / $1,424.38	Facility		$646.05	$646.05	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $535.79 / $1,211.95	Professional		$322.25	$535.79	$1,211.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $445.20 / $986.78	Facility		$332.00	$445.20	$986.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.38 / $592.19 / $923.00	Professional		$484.38	$592.19	$923.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $414.12 / $933.03	Professional		$228.62	$414.12	$933.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $473.25 / $473.25	Professional		$473.25	$473.25	$473.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $646.05 / $74,999.25	Facility		$555.00	$646.05	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.84 / $561.55 / $1,236.47	Professional		$342.84	$561.55	$1,236.47
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 $362.63 / $488.88 / $1,101.07	Professional		$362.63	$488.88	$1,101.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $530.83 / $530.83 / $1,141.26	Facility		$530.83	$530.83	$1,141.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $601.30 / $1,105.09	Professional		$228.62	$601.30	$1,105.09