Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $2,643.18 / $8,442.00	Facility		$443.67	$2,643.18	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $443.67 / $874.44	Professional		$298.98	$443.67	$874.44
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 $407.12 / $517.05 / $1,029.29	Professional		$407.12	$517.05	$1,029.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $462.94 / $1,716.00 / $6,213.00	Facility		$462.94	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $462.94 / $462.94 / $686.86	Professional		$462.94	$462.94	$686.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $571.65	Facility		$571.65	$571.65	$571.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.31 / $598.59 / $1,555.97	Professional		$349.31	$598.59	$1,555.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $367.23 / $908.12	Facility		$265.00	$367.23	$908.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $527.84 / $750.51 / $1,107.08	Professional		$527.84	$750.51	$1,107.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.28 / $453.28 / $453.28	Facility		$453.28	$453.28	$453.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.65 / $496.29 / $1,029.97	Professional		$367.65	$496.29	$1,029.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.87 / $3,664.32 / $6,932.95	Facility		$3,019.87	$3,664.32	$6,932.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $571.65 / $597.00	Facility		$555.00	$571.65	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.85 / $627.44 / $1,540.34	Professional		$350.85	$627.44	$1,540.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.57 / $594.65 / $1,462.71	Professional		$409.57	$594.65	$1,462.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $405.79 / $405.79 / $922.12	Facility		$405.79	$405.79	$922.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $367.65 / $631.69 / $1,029.97	Professional		$367.65	$631.69	$1,029.97