Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.96 / $3,841.00 / $9,038.00	Facility		$799.96	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $678.64 / $1,335.67	Professional		$561.88	$678.64	$1,335.67
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 $477.08 / $623.64 / $1,434.03	Professional		$477.08	$623.64	$1,434.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $904.59 / $1,716.00 / $6,213.00	Facility		$904.59	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $904.59 / $904.59 / $904.59	Professional		$904.59	$904.59	$904.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.57 / $912.73 / $2,334.02	Professional		$619.57	$912.73	$2,334.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,024.00 / $1,688.22	Facility		$332.00	$1,024.00	$1,688.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.04 / $981.42 / $1,448.12	Professional		$690.04	$981.42	$1,448.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.55 / $592.55 / $592.55	Facility		$592.55	$592.55	$592.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.97 / $766.50 / $1,352.13	Professional		$491.97	$766.50	$1,352.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.34 / $854.34 / $854.34	Professional		$854.34	$854.34	$854.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $722.52	Facility		$555.00	$597.00	$722.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $615.15 / $912.73 / $2,089.69	Professional		$615.15	$912.73	$2,089.69
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 $537.08 / $746.29 / $1,872.94	Professional		$537.08	$746.29	$1,872.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $766.50 / $766.50 / $2,788.10	Facility		$766.50	$766.50	$2,788.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.97 / $825.79 / $1,620.27	Professional		$491.97	$825.79	$1,620.27