Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.98 / $4,629.00 / $10,965.00	Facility		$768.98	$4,629.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.22 / $650.53 / $1,424.64	Professional		$553.22	$650.53	$1,424.64
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 $492.00 / $643.14 / $1,507.55	Professional		$492.00	$643.14	$1,507.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $887.49 / $2,390.00 / $10,957.50	Facility		$887.49	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $887.49 / $887.49 / $887.49	Professional		$887.49	$887.49	$887.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $721.65	Facility		$721.65	$721.65	$721.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.75 / $938.68 / $2,324.46	Professional		$627.75	$938.68	$2,324.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $730.00 / $1,687.19	Facility		$332.00	$730.00	$1,687.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.54 / $982.08 / $1,447.23	Professional		$697.54	$982.08	$1,447.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $599.00 / $599.00	Facility		$599.00	$599.00	$599.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $761.15 / $1,342.68	Professional		$500.51	$761.15	$1,342.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,993.47 / $2,993.47 / $2,993.47	Facility		$2,993.47	$2,993.47	$2,993.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.05 / $854.05 / $854.05	Professional		$854.05	$854.05	$854.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $721.65	Facility		$555.00	$597.00	$721.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $938.68 / $2,182.41	Professional		$647.58	$938.68	$2,182.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $781.84 / $2,000.46	Professional		$552.47	$781.84	$2,000.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $761.15 / $761.15 / $2,661.30	Facility		$761.15	$761.15	$2,661.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $517.58 / $791.59 / $1,608.94	Professional		$517.58	$791.59	$1,608.94