Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.58 / $3,414.00 / $10,170.00	Facility		$435.58	$3,414.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $454.31 / $993.77	Professional		$298.05	$454.31	$993.77
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 $365.50 / $467.79 / $1,124.20	Professional		$365.50	$467.79	$1,124.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $472.77 / $1,990.00 / $8,917.50	Facility		$472.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $472.77 / $472.77 / $716.27	Professional		$472.77	$472.77	$716.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $597.44 / $1,435.14	Professional		$337.13	$597.44	$1,435.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $405.87 / $856.62	Facility		$319.00	$405.87	$856.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $574.34 / $678.59 / $1,572.06	Professional		$574.34	$678.59	$1,572.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $458.32 / $916.72	Professional		$403.74	$458.32	$916.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.73 / $1,699.86 / $2,039.18	Facility		$852.73	$1,699.86	$2,039.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.49 / $600.22 / $913.13	Professional		$564.49	$600.22	$913.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $564.00 / $74,999.25	Facility		$555.00	$564.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.17 / $622.01 / $1,535.20	Professional		$380.17	$622.01	$1,535.20
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 $336.28 / $565.49 / $1,206.78	Professional		$336.28	$565.49	$1,206.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $358.33 / $358.33 / $1,483.47	Facility		$358.33	$358.33	$1,483.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $501.37 / $1,168.47	Professional		$403.74	$501.37	$1,168.47