Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $2,394.00 / $7,095.00	Facility		$160.13	$2,394.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $188.87 / $450.26	Professional		$109.86	$188.87	$450.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $188.83 / $466.21	Professional		$146.08	$188.83	$466.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $171.59 / $4,050.00	Facility		$171.59	$171.59	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $171.59 / $267.56	Professional		$171.59	$171.59	$267.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.80 / $209.80 / $14,648.00	Facility		$209.80	$209.80	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $276.75 / $653.38	Professional		$124.35	$276.75	$653.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $152.85 / $332.00	Facility		$40.00	$152.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $213.16 / $368.77	Professional		$91.00	$213.16	$368.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $198.28 / $340.78	Professional		$135.55	$198.28	$340.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.19 / $1,244.57 / $2,255.53	Facility		$925.19	$1,244.57	$2,255.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $209.80 / $209.80 / $74,999.25	Facility		$209.80	$209.80	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $143.90 / $280.79 / $649.83	Professional		$143.90	$280.79	$649.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,447.00 / $5,828.00	Facility		$1,348.00	$3,447.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $229.69 / $592.54	Professional		$110.42	$229.69	$592.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.38 / $374.93	Facility		$134.38	$134.38	$374.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $213.65 / $374.30	Professional		$135.55	$213.65	$374.30