Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.74 / $3,100.00 / $10,170.00	Facility		$379.74	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $415.44 / $970.42	Professional		$264.68	$415.44	$970.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $445.88 / $1,143.92	Professional		$341.09	$445.88	$1,143.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $438.67 / $1,716.00 / $6,213.00	Facility		$438.67	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $438.67 / $438.67 / $680.73	Professional		$438.67	$438.67	$680.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.42 / $528.42 / $4,612.43	Facility		$528.42	$528.42	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $621.80 / $1,526.46	Professional		$263.72	$621.80	$1,526.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $332.00 / $842.47	Facility		$190.00	$332.00	$842.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $540.57 / $615.67 / $935.19	Professional		$540.57	$615.67	$935.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.08 / $502.05 / $936.91	Professional		$349.08	$502.05	$936.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.26 / $1,703.26 / $1,703.26	Facility		$1,703.26	$1,703.26	$1,703.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Professional		$555.64	$555.64	$555.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $528.42 / $555.00 / $4,612.43	Facility		$528.42	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $658.02 / $1,504.21	Professional		$300.00	$658.02	$1,504.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $578.96 / $1,375.08	Professional		$327.44	$578.96	$1,375.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $336.98 / $910.17	Facility		$336.98	$336.98	$910.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.08 / $582.03 / $939.27	Professional		$349.08	$582.03	$939.27