Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.94 / $5,168.09 / $12,051.00	Facility		$533.94	$5,168.09	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.98 / $439.95 / $1,086.17	Professional		$379.98	$439.95	$1,086.17
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 $310.16 / $405.44 / $974.68	Professional		$310.16	$405.44	$974.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $592.69 / $2,390.00 / $10,957.50	Facility		$592.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $592.69 / $592.69 / $592.69	Professional		$592.69	$592.69	$592.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.21 / $646.88 / $1,613.45	Professional		$423.21	$646.88	$1,613.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $456.54 / $1,137.71	Facility		$250.00	$456.54	$1,137.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $659.06 / $975.90	Professional		$460.57	$659.06	$975.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.51 / $395.51 / $395.51	Facility		$395.51	$395.51	$395.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $503.94 / $888.96	Professional		$342.68	$503.94	$888.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.78 / $2,257.08 / $4,464.96	Facility		$614.78	$2,257.08	$4,464.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $759.37 / $759.37	Professional		$590.50	$759.37	$759.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $555.00 / $597.00	Facility		$479.11	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.62 / $631.59 / $1,474.32	Professional		$416.62	$631.59	$1,474.32
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 $373.67 / $536.32 / $1,303.88	Professional		$373.67	$536.32	$1,303.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.94 / $503.94 / $1,134.93	Facility		$503.94	$503.94	$1,134.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $370.67 / $551.17 / $1,065.25	Professional		$370.67	$551.17	$1,065.25