Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.23 / $4,260.00 / $10,170.00	Facility		$672.23	$4,260.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $581.26 / $1,243.16	Professional		$469.82	$581.26	$1,243.16
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 $470.08 / $583.76 / $1,197.16	Professional		$470.08	$583.76	$1,197.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $772.45 / $1,990.00 / $8,917.50	Facility		$772.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $772.45 / $772.45	Professional		$772.45	$772.45	$772.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $617.76	Facility		$617.76	$617.76	$617.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.99 / $803.76 / $1,989.94	Professional		$533.99	$803.76	$1,989.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $405.00 / $1,443.31	Facility		$250.00	$405.00	$1,443.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $591.98 / $839.92 / $1,238.04	Professional		$591.98	$839.92	$1,238.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.36 / $508.36 / $508.36	Facility		$508.36	$508.36	$508.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $850.79 / $1,157.35	Professional		$454.76	$850.79	$1,157.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.10 / $620.10 / $620.10	Professional		$620.10	$620.10	$620.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $617.76	Facility		$555.00	$597.00	$617.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $521.37 / $776.86 / $1,836.65	Professional		$521.37	$776.86	$1,836.65
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 $454.33 / $665.19 / $1,597.84	Professional		$454.33	$665.19	$1,597.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $656.09 / $656.09 / $1,802.21	Facility		$656.09	$656.09	$1,802.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $850.79 / $1,394.79	Professional		$454.76	$850.79	$1,394.79