Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,162.28 / $7,762.47	Facility		$426.58	$3,162.28	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $954.99	Professional		$288.40	$426.58	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $1,000.00	Professional		$309.03	$389.05	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $6,165.95	Facility		$416.87	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $588.84	Professional		$416.87	$416.87	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $50,118.72	Facility		$512.86	$512.86	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $1,380.38	Professional		$309.03	$537.03	$1,380.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $741.31	Facility		$134.90	$323.59	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $977.24	Professional		$489.78	$676.08	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $891.25	Professional		$331.13	$537.03	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Facility		$3,019.95	$3,019.95	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $50,118.72 / $75,857.76	Facility		$288.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,122.02	Professional		$398.11	$549.54	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,709.64	Facility		$1,819.70	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,047.13	Professional		$263.03	$426.58	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $977.24	Facility		$245.47	$363.08	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $891.25	Professional		$338.84	$501.19	$891.25