Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.35 / $2,920.00 / $8,020.00	Facility		$592.35	$2,920.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.17 / $557.21 / $1,018.29	Professional		$464.17	$557.21	$1,018.29
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 $418.74 / $536.24 / $1,228.31	Professional		$418.74	$536.24	$1,228.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $1,716.00 / $6,213.00	Facility		$700.80	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $700.80 / $700.80 / $768.12	Professional		$700.80	$700.80	$768.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $852.82	Facility		$852.82	$852.82	$852.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.24 / $767.41 / $1,911.16	Professional		$512.24	$767.41	$1,911.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $571.80 / $1,355.72	Facility		$332.00	$571.80	$1,355.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $607.79 / $863.08 / $1,273.76	Professional		$607.79	$863.08	$1,273.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.94 / $521.94 / $521.94	Facility		$521.94	$521.94	$521.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $665.52 / $1,173.99	Professional		$430.12	$665.52	$1,173.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.96 / $745.96 / $745.96	Professional		$745.96	$745.96	$745.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $772.81 / $1,865.33	Professional		$526.01	$772.81	$1,865.33
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.40 / $700.68 / $1,789.75	Professional		$494.40	$700.68	$1,789.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $607.08 / $607.08 / $2,098.60	Facility		$607.08	$607.08	$2,098.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $452.55 / $727.38 / $1,290.58	Professional		$452.55	$727.38	$1,290.58