Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.13 / $4,392.00 / $10,024.00	Facility		$965.13	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.44 / $817.19 / $1,366.41	Professional		$710.44	$817.19	$1,366.41
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 $609.53 / $796.78 / $1,892.07	Professional		$609.53	$796.78	$1,892.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,105.02 / $1,990.00 / $8,917.50	Facility		$1,105.02	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,105.02 / $1,105.02 / $1,105.02	Professional		$1,105.02	$1,105.02	$1,105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.03 / $886.03 / $886.03	Facility		$886.03	$886.03	$886.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.99 / $1,174.09 / $2,946.55	Professional		$777.99	$1,174.09	$2,946.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,043.00 / $2,085.21	Facility		$332.00	$1,043.00	$2,085.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $854.20 / $1,210.95 / $1,788.65	Professional		$854.20	$1,210.95	$1,788.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.53 / $733.53 / $733.53	Facility		$733.53	$733.53	$733.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $797.95 / $1,655.99	Professional		$631.04	$797.95	$1,655.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.34 / $1,090.34 / $1,090.34	Professional		$1,090.34	$1,090.34	$1,090.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $886.03	Facility		$555.00	$597.00	$886.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $1,174.09 / $2,723.96	Professional		$772.70	$1,174.09	$2,723.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.09 / $962.67 / $2,335.87	Professional		$677.09	$962.67	$2,335.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $938.76 / $938.76 / $2,518.60	Facility		$938.76	$938.76	$2,518.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $1,022.25 / $1,984.38	Professional		$631.04	$1,022.25	$1,984.38