Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.48 / $2,626.00 / $9,477.10	Facility		$335.48	$2,626.00	$9,477.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $355.24 / $786.75	Professional		$237.57	$355.24	$786.75
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 $263.04 / $333.53 / $801.30	Professional		$263.04	$333.53	$801.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $16,534.50	Facility		$362.03	$362.03	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $362.03 / $362.03 / $525.79	Professional		$362.03	$362.03	$525.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.64 / $441.64 / $14,648.00	Facility		$441.64	$441.64	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.54 / $475.25 / $1,163.82	Professional		$276.54	$475.25	$1,163.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $310.44 / $698.49	Facility		$165.00	$310.44	$698.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $573.51 / $844.86	Professional		$401.25	$573.51	$844.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.09 / $348.09 / $348.09	Facility		$348.09	$348.09	$348.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $447.95 / $790.19	Professional		$284.35	$447.95	$790.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.45 / $1,939.41 / $4,554.57	Facility		$1,630.45	$1,939.41	$4,554.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $441.64 / $555.00 / $597.00	Facility		$441.64	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.54 / $495.18 / $1,156.04	Professional		$302.54	$495.18	$1,156.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $444.55 / $1,124.20	Professional		$317.50	$444.55	$1,124.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $314.08 / $700.14	Facility		$314.08	$314.08	$700.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $485.09 / $790.19	Professional		$284.35	$485.09	$790.19