Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.23 / $2,626.00 / $7,839.00	Facility		$197.23	$2,626.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $349.03 / $657.90	Professional		$138.53	$349.03	$657.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.06 / $351.13 / $887.76	Professional		$252.06	$351.13	$887.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.20 / $1,254.00 / $4,050.00	Facility		$204.20	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.20 / $204.20 / $536.51	Professional		$204.20	$204.20	$536.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $244.41 / $244.41	Facility		$244.41	$244.41	$244.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $424.96 / $1,147.08	Professional		$157.66	$424.96	$1,147.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $250.00 / $389.25	Facility		$156.13	$250.00	$389.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $376.13 / $532.21 / $783.19	Professional		$376.13	$532.21	$783.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $423.09 / $746.33	Professional		$318.14	$423.09	$746.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,694.24 / $2,694.24 / $12,409.02	Facility		$2,694.24	$2,694.24	$12,409.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $205.18 / $1,019.22	Professional		$154.82	$205.18	$1,019.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $555.00 / $597.00	Facility		$244.41	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $462.60 / $1,172.40	Professional		$161.51	$462.60	$1,172.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $9,047.00	Facility		$1,768.00	$4,176.00	$9,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.82 / $458.84 / $1,142.52	Professional		$323.82	$458.84	$1,142.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $609.50	Facility		$174.32	$174.32	$609.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $440.00 / $746.33	Professional		$323.00	$440.00	$746.33