Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $2,660.00 / $7,343.00	Facility		$502.54	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.26 / $461.30 / $876.28	Professional		$375.26	$461.30	$876.28
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 $357.79 / $453.68 / $1,040.58	Professional		$357.79	$453.68	$1,040.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $600.13 / $1,254.00 / $4,050.00	Facility		$600.13	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $600.13 / $600.13 / $661.72	Professional		$600.13	$600.13	$661.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.03 / $731.03 / $731.03	Facility		$731.03	$731.03	$731.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.72 / $647.47 / $1,625.67	Professional		$424.72	$647.47	$1,625.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $520.00 / $1,166.65	Facility		$328.00	$520.00	$1,166.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.94 / $747.24 / $1,102.60	Professional		$525.94	$747.24	$1,102.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.64 / $451.64 / $451.64	Facility		$451.64	$451.64	$451.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.16 / $488.97 / $1,014.77	Professional		$361.16	$488.97	$1,014.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.79 / $645.79 / $645.79	Professional		$645.79	$645.79	$645.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $731.03	Facility		$555.00	$597.00	$731.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $439.85 / $656.50 / $1,606.63	Professional		$439.85	$656.50	$1,606.63
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 $407.82 / $590.80 / $1,474.89	Professional		$407.82	$590.80	$1,474.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $521.55 / $521.55 / $1,577.98	Facility		$521.55	$521.55	$1,577.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $391.18 / $598.27 / $1,108.79	Professional		$391.18	$598.27	$1,108.79