Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.78 / $2,792.00 / $9,094.00	Facility		$528.78	$2,792.00	$9,094.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $528.78 / $1,122.11	Professional		$378.10	$528.78	$1,122.11
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 $380.67 / $482.69 / $1,174.59	Professional		$380.67	$482.69	$1,174.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $564.61 / $564.61 / $16,534.50	Facility		$564.61	$564.61	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $564.61 / $564.61 / $761.32	Professional		$564.61	$564.61	$761.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.08 / $680.08 / $680.08	Facility		$680.08	$680.08	$680.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.93 / $719.43 / $1,736.83	Professional		$434.93	$719.43	$1,736.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $419.20 / $1,064.03	Facility		$250.00	$419.20	$1,064.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $569.76 / $815.16 / $1,201.11	Professional		$569.76	$815.16	$1,201.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $495.88 / $495.88	Facility		$495.88	$495.88	$495.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.85 / $544.80 / $1,130.65	Professional		$435.85	$544.80	$1,130.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.73 / $1,689.86 / $3,544.79	Facility		$720.73	$1,689.86	$3,544.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $680.08	Facility		$555.00	$597.00	$680.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $457.10 / $737.48 / $1,719.68	Professional		$457.10	$737.48	$1,719.68
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 $469.68 / $678.43 / $1,684.99	Professional		$469.68	$678.43	$1,684.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $483.39 / $483.39 / $1,088.54	Facility		$483.39	$483.39	$1,088.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $439.18 / $691.06 / $1,130.65	Professional		$439.18	$691.06	$1,130.65