Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.28 / $3,419.00 / $8,442.00	Facility		$439.28	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $422.69 / $669.41	Professional		$306.06	$422.69	$669.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.61 / $401.46 / $886.18	Professional		$316.61	$401.46	$886.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.57 / $1,716.00 / $6,213.00	Facility		$496.57	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.57 / $496.57 / $550.04	Professional		$496.57	$496.57	$550.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $408.88 / $581.53	Facility		$408.88	$408.88	$581.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $471.24 / $1,079.90	Professional		$294.04	$471.24	$1,079.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $368.81 / $891.23	Facility		$267.00	$368.81	$891.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $435.30 / $519.45 / $809.88	Professional		$435.30	$519.45	$809.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.85 / $444.40 / $713.32	Professional		$322.85	$444.40	$713.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.20 / $476.20 / $476.20	Professional		$476.20	$476.20	$476.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $581.53 / $74,999.25	Facility		$408.88	$581.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $479.00 / $1,164.82	Professional		$316.95	$479.00	$1,164.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $441.13 / $1,030.58	Professional		$316.79	$441.13	$1,030.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $479.10 / $479.10 / $962.17	Facility		$479.10	$479.10	$962.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $322.85 / $479.10 / $941.68	Professional		$322.85	$479.10	$941.68