Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.71 / $2,942.87 / $8,907.44	Facility		$454.71	$2,942.87	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.18 / $503.06 / $1,161.90	Professional		$307.18	$503.06	$1,161.90
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 $442.05 / $576.01 / $1,144.24	Professional		$442.05	$576.01	$1,144.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $464.42 / $1,716.00 / $6,213.00	Facility		$464.42	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $464.42 / $464.42 / $762.82	Professional		$464.42	$464.42	$762.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $562.73	Facility		$562.73	$562.73	$562.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $651.07 / $1,582.50	Professional		$351.44	$651.07	$1,582.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $205.00 / $341.82 / $890.33	Facility		$205.00	$341.82	$890.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.96 / $809.19 / $1,193.72	Professional		$568.96	$809.19	$1,193.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.59 / $488.59 / $488.59	Facility		$488.59	$488.59	$488.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $633.46 / $1,117.44	Professional		$403.12	$633.46	$1,117.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.28 / $1,942.28 / $2,221.50	Facility		$1,942.28	$1,942.28	$2,221.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $562.73 / $597.00	Facility		$555.00	$562.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $680.70 / $1,546.15	Professional		$351.44	$680.70	$1,546.15
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 $456.46 / $638.82 / $1,556.90	Professional		$456.46	$638.82	$1,556.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.72 / $397.72 / $1,113.97	Facility		$397.72	$397.72	$1,113.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $680.90 / $1,117.44	Professional		$403.12	$680.90	$1,117.44