Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.63 / $4,392.00 / $10,989.31	Facility		$695.63	$4,392.00	$10,989.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.01 / $594.70 / $1,426.50	Professional		$504.01	$594.70	$1,426.50
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 $442.80 / $578.83 / $1,356.00	Professional		$442.80	$578.83	$1,356.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $804.61 / $1,990.00 / $8,917.50	Facility		$804.61	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $804.61 / $804.61 / $804.61	Professional		$804.61	$804.61	$804.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.11 / $855.29 / $2,142.46	Professional		$564.11	$855.29	$2,142.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $619.35 / $1,532.14	Facility		$332.00	$619.35	$1,532.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.16 / $889.92 / $1,314.23	Professional		$627.16	$889.92	$1,314.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.55 / $538.55 / $538.55	Facility		$538.55	$538.55	$538.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $687.69 / $1,213.09	Professional		$464.99	$687.69	$1,213.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.21 / $788.21 / $788.21	Professional		$788.21	$788.21	$788.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $650.60	Facility		$555.00	$597.00	$650.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $852.58 / $1,968.75	Professional		$584.23	$852.58	$1,968.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,682.00 / $7,355.00	Facility		$1,883.00	$3,682.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.09 / $705.48 / $1,827.95	Professional		$502.09	$705.48	$1,827.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $687.69 / $687.69 / $2,526.94	Facility		$687.69	$687.69	$2,526.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.63 / $750.54 / $1,453.66	Professional		$467.63	$750.54	$1,453.66