Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,345.57 / $2,369.56	Facility		$846.27	$1,345.57	$2,369.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $1,000.00 / $1,500.00	Professional		$719.33	$1,000.00	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $2,200.30	Facility		$846.27	$846.27	$2,200.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $736.25 / $2,225.69	Professional		$338.51	$736.25	$2,225.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.76 / $846.27 / $846.27	Facility		$507.76	$846.27	$846.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $846.27	Professional		$846.27	$846.27	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $1,787.76 / $2,955.48	Facility		$1,034.84	$1,787.76	$2,955.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $1,360.39 / $2,746.41	Professional		$513.70	$1,360.39	$2,746.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $332.00 / $1,904.11	Facility		$138.00	$332.00	$1,904.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $888.58 / $1,582.52	Professional		$592.39	$888.58	$1,582.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $803.96 / $1,509.37	Professional		$677.02	$803.96	$1,509.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.73 / $601.73 / $1,742.10	Facility		$601.73	$601.73	$1,742.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $2,064.53 / $2,955.48	Facility		$254.50	$2,064.53	$2,955.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $1,030.53 / $2,321.94	Professional		$295.00	$1,030.53	$2,321.94
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,311.72	Professional		$355.43	$507.76	$1,311.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $897.05 / $897.05	Facility		$54.39	$897.05	$897.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $846.27 / $996.06	Professional		$677.02	$846.27	$996.06