Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,239.73 / $9,661.00	Facility		$645.00	$2,239.73	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.91 / $703.19 / $1,209.32	Professional		$504.91	$703.19	$1,209.32
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 $523.50 / $669.76 / $1,660.94	Professional		$523.50	$669.76	$1,660.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $692.85 / $692.85 / $13,009.50	Facility		$692.85	$692.85	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $692.85 / $959.27	Professional		$692.85	$692.85	$959.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.51 / $835.51 / $835.51	Facility		$835.51	$835.51	$835.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.08 / $968.22 / $2,293.44	Professional		$528.08	$968.22	$2,293.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $776.00 / $1,241.91	Facility		$332.00	$776.00	$1,241.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.82 / $1,035.69 / $1,517.77	Professional		$751.82	$1,035.69	$1,517.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.61 / $645.61 / $645.61	Facility		$645.61	$645.61	$645.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.04 / $817.28 / $1,441.71	Professional		$591.04	$817.28	$1,441.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $380.05 / $380.05	Facility		$380.05	$380.05	$380.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $835.51	Facility		$555.00	$597.00	$835.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $584.16 / $1,011.59 / $2,317.80	Professional		$584.16	$1,011.59	$2,317.80
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $876.24 / $2,086.76	Professional		$615.66	$876.24	$2,086.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $581.94 / $581.94 / $2,997.97	Facility		$581.94	$581.94	$2,997.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $591.04 / $899.73 / $1,441.71	Professional		$591.04	$899.73	$1,441.71