Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,404.00 / $2,520.00	Facility		$765.00	$1,404.00	$2,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $729.00 / $1,350.00	Professional		$306.00	$729.00	$1,350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $2,340.00	Facility		$900.00	$900.00	$2,340.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $360.00 / $1,251.00	Professional		$50.33	$360.00	$1,251.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $900.00 / $900.00	Facility		$540.00	$900.00	$900.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $900.00 / $900.00	Professional		$657.00	$900.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.57 / $1,901.25 / $2,402.17	Facility		$1,100.57	$1,901.25	$2,402.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.35 / $1,397.72 / $2,920.47	Professional		$546.35	$1,397.72	$2,920.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $553.60 / $2,025.00	Facility		$332.00	$553.60	$2,025.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $945.00 / $1,647.00	Professional		$630.00	$945.00	$1,647.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $855.00 / $1,605.20	Professional		$720.00	$855.00	$1,605.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.22 / $460.22 / $460.22	Facility		$460.22	$460.22	$460.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,901.25 / $2,402.17	Facility		$254.50	$1,901.25	$2,402.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $570.13 / $1,101.76 / $2,700.00	Professional		$570.13	$1,101.76	$2,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $500.09 / $1,364.02	Professional		$378.00	$500.09	$1,364.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $954.00 / $954.00	Facility		$954.00	$954.00	$954.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $900.00 / $1,059.30	Professional		$765.00	$900.00	$1,059.30