Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.37 / $2,660.00 / $7,521.00	Facility		$336.37	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $375.75 / $628.08	Professional		$242.50	$375.75	$628.08
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 $303.44 / $385.39 / $869.35	Professional		$303.44	$385.39	$869.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $349.51 / $1,990.00 / $8,917.50	Facility		$349.51	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $349.51 / $349.51 / $534.28	Professional		$349.51	$349.51	$534.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $416.47 / $14,648.00	Facility		$416.47	$416.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.47 / $476.67 / $1,166.20	Professional		$260.47	$476.67	$1,166.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $302.61 / $638.01	Facility		$223.00	$302.61	$638.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $469.48 / $635.67 / $906.10	Professional		$469.48	$635.67	$906.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.81 / $379.81 / $379.81	Facility		$379.81	$379.81	$379.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.85 / $455.93 / $804.27	Professional		$303.85	$455.93	$804.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.62 / $2,134.62 / $2,134.62	Facility		$2,134.62	$2,134.62	$2,134.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $555.00 / $597.00	Facility		$416.47	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $506.94 / $1,198.06	Professional		$276.70	$506.94	$1,198.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.96 / $479.23 / $1,176.42	Professional		$339.96	$479.23	$1,176.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.50 / $288.50 / $732.55	Facility		$288.50	$288.50	$732.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.85 / $510.11 / $804.27	Professional		$303.85	$510.11	$804.27