Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.08 / $2,884.50 / $9,038.00	Facility		$509.08	$2,884.50	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.17 / $558.71 / $1,137.76	Professional		$368.17	$558.71	$1,137.76
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 $431.40 / $538.90 / $1,262.35	Professional		$431.40	$538.90	$1,262.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $514.64 / $1,716.00 / $6,213.00	Facility		$514.64	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $514.64 / $514.64 / $788.70	Professional		$514.64	$514.64	$788.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.73 / $683.73 / $683.73	Facility		$683.73	$683.73	$683.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $712.65 / $1,760.01	Professional		$403.74	$712.65	$1,760.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $332.00 / $1,086.98	Facility		$85.00	$332.00	$1,086.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.70 / $948.09 / $1,398.34	Professional		$666.70	$948.09	$1,398.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.52 / $572.52 / $572.52	Facility		$572.52	$572.52	$572.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.08 / $738.44 / $1,302.63	Professional		$484.08	$738.44	$1,302.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.32 / $3,664.32 / $3,664.32	Facility		$3,664.32	$3,664.32	$3,664.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $683.73	Facility		$555.00	$597.00	$683.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $754.13 / $1,760.01	Professional		$426.60	$754.13	$1,760.01
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 $495.39 / $700.96 / $1,686.62	Professional		$495.39	$700.96	$1,686.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $485.72 / $485.72 / $1,113.97	Facility		$485.72	$485.72	$1,113.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $485.72 / $797.86 / $1,302.63	Professional		$485.72	$797.86	$1,302.63