Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $5,370.00 / $10,686.00	Facility		$748.00	$5,370.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $213.40 / $309.98	Professional		$131.21	$213.40	$309.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $283.70 / $667.34	Professional		$228.46	$283.70	$667.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $377.26 / $10,957.50	Facility		$377.26	$377.26	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $377.26 / $377.26	Professional		$377.26	$377.26	$377.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $205.15 / $205.15	Facility		$205.15	$205.15	$205.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $1,027.43 / $1,027.43	Professional		$396.55	$1,027.43	$1,027.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $285.58 / $346.00 / $789.66	Facility		$285.58	$346.00	$789.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.55 / $475.20 / $677.35	Professional		$332.55	$475.20	$677.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $288.12 / $288.12	Facility		$288.12	$288.12	$288.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $403.37 / $635.30	Professional		$244.90	$403.37	$635.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $397.80 / $397.80	Professional		$397.80	$397.80	$397.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $555.00 / $597.00	Facility		$205.15	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $1,027.43 / $1,027.43	Professional		$396.55	$1,027.43	$1,027.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,501.00 / $12,177.00	Facility		$2,264.00	$6,501.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $324.14 / $666.80	Professional		$243.11	$324.14	$666.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $360.15 / $360.15	Facility		$273.18	$360.15	$360.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $273.18 / $402.95 / $761.30	Professional		$273.18	$402.95	$761.30