Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.38 / $1,595.06 / $2,609.75	Professional		$771.38	$1,595.06	$2,609.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,074.35 / $2,074.35 / $2,406.16	Professional		$2,074.35	$2,074.35	$2,406.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.74 / $225.74 / $2,934.62	Facility		$225.74	$225.74	$2,934.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $225.74 / $2,934.62	Professional		$225.74	$225.74	$2,934.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $1,414.26	Facility		$213.28	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $1,414.26 / $1,760.73	Professional		$209.10	$1,414.26	$1,760.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.86 / $1,818.86 / $1,958.57	Professional		$1,566.86	$1,818.86	$1,958.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.37 / $1,681.27 / $1,958.57	Professional		$1,582.37	$1,681.27	$1,958.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,346.61 / $2,346.61 / $2,346.61	Professional		$2,346.61	$2,346.61	$2,346.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $1,414.26	Facility		$213.28	$1,414.26	$1,414.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $1,414.26 / $1,760.73	Professional		$209.10	$1,414.26	$1,760.73
United Facility/Professional Professional Modifier Low / Median / High Price $910.17 / $1,578.88 / $2,484.05	Professional		$910.17	$1,578.88	$2,484.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,582.37 / $1,582.37 / $1,582.37	Facility		$1,582.37	$1,582.37	$1,582.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,582.37 / $1,582.37 / $1,958.57	Professional		$1,582.37	$1,582.37	$1,958.57