Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $4,663.00 / $10,152.00	Facility		$570.54	$4,663.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.75 / $463.34 / $1,111.55	Professional		$392.75	$463.34	$1,111.55
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 $344.57 / $450.42 / $1,071.11	Professional		$344.57	$450.42	$1,071.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $626.16 / $1,990.00 / $8,917.50	Facility		$626.16	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $626.16 / $626.16	Professional		$626.16	$626.16	$626.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $509.99	Facility		$509.99	$509.99	$509.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $665.51 / $1,613.93	Professional		$441.82	$665.51	$1,613.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $532.01 / $1,197.02	Facility		$332.00	$532.01	$1,197.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.15 / $696.02 / $1,026.78	Professional		$492.15	$696.02	$1,026.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $422.63 / $422.63	Facility		$422.63	$422.63	$422.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.74 / $537.86 / $948.80	Professional		$365.74	$537.86	$948.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.38 / $3,501.38 / $3,501.38	Facility		$3,501.38	$3,501.38	$3,501.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.22 / $624.01 / $789.95	Professional		$617.22	$624.01	$789.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $555.00 / $597.00	Facility		$509.99	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $457.62 / $665.51 / $1,523.62	Professional		$457.62	$665.51	$1,523.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.25 / $554.95 / $1,349.70	Professional		$392.25	$554.95	$1,349.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.86 / $537.86 / $2,004.51	Facility		$537.86	$537.86	$2,004.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $369.45 / $588.98 / $1,136.95	Professional		$369.45	$588.98	$1,136.95