Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.69 / $3,205.00 / $10,024.57	Facility		$502.69	$3,205.00	$10,024.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.58 / $492.47 / $940.54	Professional		$374.58	$492.47	$940.54
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 $382.47 / $474.97 / $1,142.09	Professional		$382.47	$474.97	$1,142.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $529.77 / $1,716.00 / $6,213.00	Facility		$529.77	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $529.77 / $529.77 / $686.85	Professional		$529.77	$529.77	$686.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.32 / $614.32 / $614.32	Facility		$614.32	$614.32	$614.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.31 / $667.50 / $1,644.86	Professional		$380.31	$667.50	$1,644.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $388.78 / $943.56	Facility		$250.00	$388.78	$943.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.52 / $702.89 / $1,031.11	Professional		$506.52	$702.89	$1,031.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.96 / $434.96 / $434.96	Facility		$434.96	$434.96	$434.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.71 / $555.35 / $979.66	Professional		$410.71	$555.35	$979.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,670.90 / $3,670.90 / $3,670.90	Facility		$3,670.90	$3,670.90	$3,670.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $614.32	Facility		$555.00	$597.00	$614.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.31 / $689.94 / $1,635.20	Professional		$380.31	$689.94	$1,635.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.52 / $613.83 / $1,507.29	Professional		$432.52	$613.83	$1,507.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $435.71 / $435.71 / $1,713.36	Facility		$435.71	$435.71	$1,713.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $410.71 / $606.16 / $979.66	Professional		$410.71	$606.16	$979.66