Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.83 / $1,145.27 / $11,609.00	Facility		$853.83	$1,145.27	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.54 / $904.73 / $1,541.01	Professional		$738.54	$904.73	$1,541.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.14 / $987.43 / $2,115.28	Professional		$795.14	$987.43	$2,115.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,020.24 / $1,020.24 / $13,009.50	Facility		$1,020.24	$1,020.24	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,020.24 / $1,020.24 / $1,236.52	Professional		$1,020.24	$1,020.24	$1,236.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,228.44 / $1,228.44	Facility		$1,228.44	$1,228.44	$1,228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.49 / $1,367.54 / $3,042.94	Professional		$766.49	$1,367.54	$3,042.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,191.00 / $1,886.00	Facility		$332.00	$1,191.00	$1,886.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.11 / $1,392.59 / $1,949.45	Professional		$1,031.11	$1,392.59	$1,949.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.16 / $833.16 / $833.16	Facility		$833.16	$833.16	$833.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $1,041.11 / $1,836.57	Professional		$666.53	$1,041.11	$1,836.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.23 / $392.23 / $392.23	Facility		$392.23	$392.23	$392.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,228.44	Facility		$555.00	$597.00	$1,228.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $816.49 / $1,369.28 / $3,079.52	Professional		$816.49	$1,369.28	$3,079.52
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 $808.12 / $1,126.05 / $2,770.83	Professional		$808.12	$1,126.05	$2,770.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $848.42 / $848.42 / $4,462.79	Facility		$848.42	$848.42	$4,462.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.96 / $1,161.08 / $1,836.57	Professional		$707.96	$1,161.08	$1,836.57