Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.17 / $2,900.00 / $7,521.00	Facility		$611.17	$2,900.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.65 / $566.11 / $996.06	Professional		$476.65	$566.11	$996.06
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 $431.59 / $554.82 / $1,263.93	Professional		$431.59	$554.82	$1,263.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $719.91 / $1,254.00 / $4,050.00	Facility		$719.91	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $719.91 / $719.91 / $790.09	Professional		$719.91	$719.91	$790.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.58 / $876.58 / $876.58	Facility		$876.58	$876.58	$876.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.26 / $793.87 / $1,965.99	Professional		$527.26	$793.87	$1,965.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $572.00 / $1,393.74	Facility		$332.00	$572.00	$1,393.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $625.17 / $888.52 / $1,311.65	Professional		$625.17	$888.52	$1,311.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.87 / $536.87 / $536.87	Facility		$536.87	$536.87	$536.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $683.50 / $1,205.72	Professional		$445.29	$683.50	$1,205.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,288.42 / $3,288.42 / $3,288.42	Facility		$3,288.42	$3,288.42	$3,288.42
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 $547.42 / $808.84 / $1,920.95	Professional		$547.42	$808.84	$1,920.95
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 $489.93 / $707.68 / $1,773.12	Professional		$489.93	$707.68	$1,773.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $622.29 / $622.29 / $2,198.67	Facility		$622.29	$622.29	$2,198.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $748.18 / $1,322.96	Professional		$445.29	$748.18	$1,322.96