Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.05 / $5,157.00 / $11,396.00	Facility		$913.05	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $764.09 / $1,418.32	Professional		$632.08	$764.09	$1,418.32
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 $551.38 / $720.76 / $1,695.44	Professional		$551.38	$720.76	$1,695.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,043.03 / $2,644.00 / $12,319.50	Facility		$1,043.03	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,043.03 / $1,043.03 / $1,043.03	Professional		$1,043.03	$1,043.03	$1,043.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.04 / $806.04 / $806.04	Facility		$806.04	$806.04	$806.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.49 / $1,070.95 / $2,687.91	Professional		$708.49	$1,070.95	$2,687.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $767.51 / $1,888.29	Facility		$332.00	$767.51	$1,888.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.36 / $1,098.75 / $1,619.73	Professional		$776.36	$1,098.75	$1,619.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.69 / $666.69 / $666.69	Facility		$666.69	$666.69	$666.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.52 / $850.14 / $1,511.14	Professional		$582.52	$850.14	$1,511.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.08 / $985.08 / $985.08	Professional		$985.08	$985.08	$985.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $806.04	Facility		$555.00	$597.00	$806.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $716.38 / $1,058.30 / $2,399.21	Professional		$716.38	$1,058.30	$2,399.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $863.23 / $2,112.84	Professional		$613.24	$863.23	$2,112.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $856.64 / $856.64 / $3,438.23	Facility		$856.64	$856.64	$3,438.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $605.84 / $890.91 / $1,810.80	Professional		$605.84	$890.91	$1,810.80