Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.12 / $4,039.00 / $10,674.00	Facility		$568.12	$4,039.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $578.12 / $1,161.50	Professional		$403.51	$578.12	$1,161.50
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 $460.09 / $583.38 / $1,323.06	Professional		$460.09	$583.38	$1,323.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.32 / $2,390.00 / $10,957.50	Facility		$599.32	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.32 / $599.32 / $875.29	Professional		$599.32	$599.32	$875.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $711.36 / $1,424.38	Facility		$711.36	$711.36	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $658.22 / $1,411.58	Professional		$356.27	$658.22	$1,411.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $492.00 / $1,092.38	Facility		$332.00	$492.00	$1,092.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $668.22 / $808.97 / $1,270.98	Professional		$668.22	$808.97	$1,270.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $557.91 / $1,124.68	Professional		$293.35	$557.91	$1,124.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.57 / $524.57 / $524.57	Professional		$524.57	$524.57	$524.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $711.36 / $74,999.25	Facility		$555.00	$711.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $400.15 / $737.44 / $1,536.91	Professional		$400.15	$737.44	$1,536.91
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 $505.44 / $684.88 / $1,488.66	Professional		$505.44	$684.88	$1,488.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $582.30 / $582.30 / $1,331.25	Facility		$582.30	$582.30	$1,331.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $826.52 / $1,282.49	Professional		$293.35	$826.52	$1,282.49