Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.70 / $3,635.33 / $10,081.00	Facility		$432.70	$3,635.33	$10,081.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $365.77 / $904.63	Professional		$305.23	$365.77	$904.63
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 $242.60 / $317.13 / $773.21	Professional		$242.60	$317.13	$773.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $475.77 / $475.77 / $16,534.50	Facility		$475.77	$475.77	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $475.77 / $475.77 / $475.77	Professional		$475.77	$475.77	$475.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $532.21 / $1,258.55	Professional		$343.02	$532.21	$1,258.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $358.40 / $908.01	Facility		$224.00	$358.40	$908.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.97 / $527.41 / $778.87	Professional		$371.97	$527.41	$778.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.42 / $319.42 / $319.42	Facility		$319.42	$319.42	$319.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $407.55 / $718.93	Professional		$277.13	$407.55	$718.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $1,997.32 / $4,545.78	Facility		$1,362.00	$1,997.32	$4,545.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $555.00 / $597.00	Facility		$385.74	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.69 / $506.88 / $1,174.83	Professional		$350.69	$506.88	$1,174.83
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 $306.38 / $432.77 / $1,012.82	Professional		$306.38	$432.77	$1,012.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.55 / $407.55 / $914.78	Facility		$407.55	$407.55	$914.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $300.47 / $445.14 / $861.50	Professional		$300.47	$445.14	$861.50