Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $2,942.87 / $11,396.00	Facility		$399.55	$2,942.87	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $416.58 / $874.44	Professional		$262.29	$416.58	$874.44
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 $407.36 / $509.20 / $1,077.50	Professional		$407.36	$509.20	$1,077.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $462.44 / $1,716.00 / $6,213.00	Facility		$462.44	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $462.44 / $736.02	Professional		$462.44	$462.44	$736.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $560.45 / $560.45	Facility		$560.45	$560.45	$560.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $609.26 / $1,547.81	Professional		$314.64	$609.26	$1,547.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $332.00 / $887.65	Facility		$166.00	$332.00	$887.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.25 / $758.26 / $1,161.45	Professional		$549.25	$758.26	$1,161.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.96 / $474.96 / $474.96	Facility		$474.96	$474.96	$474.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $523.20 / $1,085.82	Professional		$218.06	$523.20	$1,085.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,208.84 / $2,208.84 / $2,208.84	Facility		$2,208.84	$2,208.84	$2,208.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $560.45 / $597.00	Facility		$555.00	$560.45	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $650.91 / $1,495.83	Professional		$322.27	$650.91	$1,495.83
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 $415.46 / $641.37 / $1,540.11	Professional		$415.46	$641.37	$1,540.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.17 / $397.17 / $883.94	Facility		$397.17	$397.17	$883.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $661.91 / $1,085.82	Professional		$355.78	$661.91	$1,085.82