Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.75 / $2,884.50 / $7,773.00	Facility		$324.75	$2,884.50	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.68 / $329.66 / $685.83	Professional		$209.68	$329.66	$685.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $312.11 / $757.09	Professional		$233.20	$312.11	$757.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.46 / $1,716.00 / $6,213.00	Facility		$338.46	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.46 / $338.46 / $560.95	Professional		$338.46	$338.46	$560.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.55 / $427.53 / $925.91	Professional		$198.55	$427.53	$925.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $294.00 / $635.76	Facility		$197.00	$294.00	$635.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $455.82 / $528.33 / $1,117.84	Professional		$455.82	$528.33	$1,117.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $359.89 / $716.62	Professional		$295.62	$359.89	$716.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.48 / $239.48 / $2,004.50	Facility		$239.48	$239.48	$2,004.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $703.12 / $724.23	Professional		$384.32	$703.12	$724.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $555.00 / $74,999.25	Facility		$408.00	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $480.01 / $1,009.86	Professional		$266.58	$480.01	$1,009.86
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 $231.94 / $431.87 / $940.87	Professional		$231.94	$431.87	$940.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $258.02 / $815.50	Facility		$258.02	$258.02	$815.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $416.36 / $818.75	Professional		$295.62	$416.36	$818.75