Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.77 / $2,920.00 / $7,307.00	Facility		$215.77	$2,920.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $248.90 / $453.47	Professional		$148.13	$248.90	$453.47
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 $211.10 / $268.10 / $586.69	Professional		$211.10	$268.10	$586.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $219.25 / $4,050.00	Facility		$219.25	$219.25	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $219.25 / $384.44	Professional		$219.25	$219.25	$384.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $261.94 / $261.94	Facility		$261.94	$261.94	$261.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $319.01 / $771.03	Professional		$164.71	$319.01	$771.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $189.75 / $406.15	Facility		$60.00	$189.75	$406.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.43 / $401.40 / $590.35	Professional		$285.43	$401.40	$590.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.11 / $245.11 / $245.11	Facility		$245.11	$245.11	$245.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $271.29 / $563.00	Professional		$212.69	$271.29	$563.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,435.00 / $3,435.00 / $3,673.49	Facility		$3,435.00	$3,435.00	$3,673.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $555.00 / $597.00	Facility		$261.94	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $331.66 / $786.32	Professional		$165.15	$331.66	$786.32
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 $216.54 / $324.24 / $808.55	Professional		$216.54	$324.24	$808.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.27 / $187.27 / $698.12	Facility		$187.27	$187.27	$698.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $341.58 / $563.00	Professional		$212.69	$341.58	$563.00