Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.33 / $4,905.00 / $10,965.00	Facility		$688.33	$4,905.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.12 / $686.90 / $1,346.85	Professional		$486.12	$686.90	$1,346.85
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 $464.89 / $607.71 / $1,345.26	Professional		$464.89	$607.71	$1,345.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $806.66 / $806.66 / $4,050.00	Facility		$806.66	$806.66	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $806.66 / $806.66 / $843.42	Professional		$806.66	$806.66	$843.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $222.28 / $950.38	Facility		$222.28	$222.28	$950.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $733.84 / $1,743.89	Professional		$476.42	$733.84	$1,743.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,450.19	Facility		$332.00	$610.00	$1,450.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.50 / $807.59 / $1,255.24	Professional		$658.50	$807.59	$1,255.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $556.96 / $1,105.36	Professional		$305.31	$556.96	$1,105.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.35 / $698.35 / $698.35	Professional		$698.35	$698.35	$698.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $597.00 / $74,999.25	Facility		$222.28	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $484.92 / $777.34 / $1,782.83	Professional		$484.92	$777.34	$1,782.83
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.02 / $663.86 / $1,578.87	Professional		$510.02	$663.86	$1,578.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $781.38 / $781.38 / $1,617.46	Facility		$781.38	$781.38	$1,617.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $781.38 / $1,493.71	Professional		$305.31	$781.38	$1,493.71