Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.44 / $2,842.00 / $7,521.00	Facility		$787.44	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $778.89 / $1,399.29	Professional		$553.50	$778.89	$1,399.29
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 $565.03 / $737.67 / $1,682.75	Professional		$565.03	$737.67	$1,682.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $881.87 / $1,254.00 / $4,050.00	Facility		$881.87	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $881.87 / $881.87 / $1,046.58	Professional		$881.87	$881.87	$1,046.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.32 / $1,037.32 / $1,685.80	Facility		$1,037.32	$1,037.32	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.67 / $892.15 / $1,952.10	Professional		$532.67	$892.15	$1,952.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $665.70 / $1,586.97	Facility		$332.00	$665.70	$1,586.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $808.34 / $986.44 / $1,539.98	Professional		$808.34	$986.44	$1,539.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $680.41 / $1,359.03	Professional		$379.33	$680.41	$1,359.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.07 / $906.07 / $906.07	Professional		$906.07	$906.07	$906.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,037.32 / $74,999.25	Facility		$555.00	$1,037.32	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $593.48 / $908.29 / $2,037.40	Professional		$593.48	$908.29	$2,037.40
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 $610.66 / $798.69 / $1,667.88	Professional		$610.66	$798.69	$1,667.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $854.36 / $854.36 / $1,725.14	Facility		$854.36	$854.36	$1,725.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $854.36 / $1,671.87	Professional		$379.33	$854.36	$1,671.87