Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.99 / $4,066.00 / $9,661.00	Facility		$1,362.99	$4,066.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $255.04 / $405.90	Professional		$142.19	$255.04	$405.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $187.02 / $311.72	Professional		$158.97	$187.02	$311.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.46 / $245.46 / $245.46	Facility		$245.46	$245.46	$245.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $245.46 / $245.46	Professional		$245.46	$245.46	$245.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $14,648.00	Facility		$238.87	$238.87	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $996.25 / $996.25	Professional		$172.71	$996.25	$996.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.43 / $298.25 / $447.37	Facility		$180.43	$298.25	$447.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $266.14 / $383.74	Professional		$190.86	$266.14	$383.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $150.36 / $150.36	Facility		$150.36	$150.36	$150.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $225.57 / $331.55	Professional		$150.36	$225.57	$331.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.50 / $1,250.50 / $1,250.50	Facility		$1,250.50	$1,250.50	$1,250.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $168.04 / $168.04	Professional		$168.04	$168.04	$168.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $555.00 / $597.00	Facility		$238.87	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $360.00	Professional		$300.00	$300.00	$360.00
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $240.84 / $558.30	Professional		$158.15	$240.84	$558.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.95 / $187.95 / $314.16	Facility		$187.95	$187.95	$314.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $210.29 / $397.30	Professional		$150.36	$210.29	$397.30