Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.30 / $1,894.41 / $9,868.00	Facility		$393.30	$1,894.41	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.92 / $407.10 / $753.11	Professional		$323.92	$407.10	$753.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $378.52 / $871.59	Professional		$298.33	$378.52	$871.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $541.07 / $541.07 / $4,050.00	Facility		$541.07	$541.07	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $541.07 / $541.07 / $595.02	Professional		$541.07	$541.07	$595.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $14,648.00	Facility		$661.00	$661.00	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.10 / $547.16 / $1,421.98	Professional		$379.10	$547.16	$1,421.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $332.00 / $1,055.27	Facility		$120.00	$332.00	$1,055.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.64 / $648.17 / $992.85	Professional		$473.64	$648.17	$992.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.73 / $406.73 / $406.73	Facility		$406.73	$406.73	$406.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $517.89 / $913.57	Professional		$290.66	$517.89	$913.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $454.87 / $454.87	Facility		$454.87	$454.87	$454.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $661.00	Facility		$555.00	$597.00	$661.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $379.40 / $556.16 / $1,359.58	Professional		$379.40	$556.16	$1,359.58
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.42 / $491.95 / $1,172.65	Professional		$339.42	$491.95	$1,172.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $471.69 / $471.69 / $1,249.28	Facility		$471.69	$471.69	$1,249.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $566.82 / $1,002.77	Professional		$299.33	$566.82	$1,002.77