Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.59 / $3,020.00 / $7,735.00	Facility		$395.59	$3,020.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $397.60 / $689.90	Professional		$277.81	$397.60	$689.90
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 $311.93 / $393.17 / $906.11	Professional		$311.93	$393.17	$906.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $417.08 / $1,716.00 / $6,213.00	Facility		$417.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $417.08 / $417.08 / $592.78	Professional		$417.08	$417.08	$592.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $507.71 / $507.71	Facility		$507.71	$507.71	$507.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.01 / $523.80 / $1,315.42	Professional		$309.01	$523.80	$1,315.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $326.37 / $799.72	Facility		$135.00	$326.37	$799.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $635.69 / $935.43	Professional		$451.23	$635.69	$935.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.49 / $387.49 / $387.49	Facility		$387.49	$387.49	$387.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.39 / $500.83 / $883.47	Professional		$331.39	$500.83	$883.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.87 / $3,019.87 / $3,672.66	Facility		$3,019.87	$3,019.87	$3,672.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $555.00 / $597.00	Facility		$507.71	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.27 / $549.54 / $1,311.37	Professional		$333.27	$549.54	$1,311.37
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 $358.91 / $510.49 / $1,345.21	Professional		$358.91	$510.49	$1,345.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.41 / $363.41 / $815.30	Facility		$363.41	$363.41	$815.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $540.01 / $883.47	Professional		$340.56	$540.01	$883.47