Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.64 / $5,069.00 / $13,407.00	Facility		$712.64	$5,069.00	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.80 / $581.63 / $1,219.93	Professional		$492.80	$581.63	$1,219.93
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 $426.15 / $549.16 / $1,276.20	Professional		$426.15	$549.16	$1,276.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $786.81 / $2,390.00 / $10,957.50	Facility		$786.81	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $786.81 / $786.81 / $786.81	Professional		$786.81	$786.81	$786.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $637.95	Facility		$637.95	$637.95	$637.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $830.31 / $2,087.15	Professional		$550.01	$830.31	$2,087.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $607.48 / $1,503.92	Facility		$332.00	$607.48	$1,503.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.72 / $873.27 / $1,290.03	Professional		$614.72	$873.27	$1,290.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.88 / $527.88 / $527.88	Facility		$527.88	$527.88	$527.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $572.08 / $1,187.24	Professional		$432.17	$572.08	$1,187.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.11 / $3,981.11 / $3,981.11	Facility		$3,981.11	$3,981.11	$3,981.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $637.95	Facility		$555.00	$597.00	$637.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $830.31 / $1,931.14	Professional		$550.01	$830.31	$1,931.14
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 $491.74 / $691.19 / $1,742.05	Professional		$491.74	$691.19	$1,742.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $673.03 / $673.03 / $2,314.04	Facility		$673.03	$673.03	$2,314.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $735.65 / $1,422.68	Professional		$432.17	$735.65	$1,422.68