Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.84 / $4,260.00 / $10,024.00	Facility		$841.84	$4,260.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.98 / $720.51 / $1,391.90	Professional		$600.98	$720.51	$1,391.90
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 $488.17 / $638.14 / $1,511.43	Professional		$488.17	$638.14	$1,511.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $960.98 / $1,990.00 / $8,917.50	Facility		$960.98	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $960.98 / $960.98 / $960.98	Professional		$960.98	$960.98	$960.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.76 / $768.76 / $768.76	Facility		$768.76	$768.76	$768.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.82 / $997.22 / $2,474.56	Professional		$664.82	$997.22	$2,474.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $725.45 / $1,779.98	Facility		$332.00	$725.45	$1,779.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $734.74 / $1,036.75 / $1,526.82	Professional		$734.74	$1,036.75	$1,526.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.95 / $630.95 / $630.95	Facility		$630.95	$630.95	$630.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.53 / $694.42 / $1,441.14	Professional		$555.53	$694.42	$1,441.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.59 / $907.59 / $907.59	Professional		$907.59	$907.59	$907.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $768.76	Facility		$555.00	$597.00	$768.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $655.24 / $984.30 / $2,267.69	Professional		$655.24	$984.30	$2,267.69
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 $574.85 / $830.34 / $2,083.36	Professional		$574.85	$830.34	$2,083.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $816.96 / $816.96 / $3,243.23	Facility		$816.96	$816.96	$3,243.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $570.84 / $849.64 / $1,726.92	Professional		$570.84	$849.64	$1,726.92