Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.25 / $4,051.00 / $10,024.00	Facility		$596.25	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.17 / $470.29 / $1,175.80	Professional		$418.17	$470.29	$1,175.80
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 $352.87 / $461.27 / $1,096.52	Professional		$352.87	$461.27	$1,096.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $637.24 / $1,990.00 / $8,917.50	Facility		$637.24	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $637.24 / $637.24 / $637.24	Professional		$637.24	$637.24	$637.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.43 / $723.76 / $1,673.01	Professional		$453.43	$723.76	$1,673.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $680.00 / $1,213.76	Facility		$332.00	$680.00	$1,213.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.49 / $705.85 / $1,041.14	Professional		$499.49	$705.85	$1,041.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.93 / $428.93 / $428.93	Facility		$428.93	$428.93	$428.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $546.44 / $963.94	Professional		$371.58	$546.44	$963.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.78 / $612.78 / $612.78	Professional		$612.78	$612.78	$612.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $555.00 / $597.00	Facility		$517.42	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $694.54 / $1,594.29	Professional		$466.64	$694.54	$1,594.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.58 / $583.79 / $1,374.39	Professional		$405.58	$583.79	$1,374.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $546.44 / $546.44 / $2,350.73	Facility		$546.44	$546.44	$2,350.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $409.78 / $597.75 / $1,155.08	Professional		$409.78	$597.75	$1,155.08