Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.21 / $4,260.00 / $10,170.00	Facility		$769.21	$4,260.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.45 / $647.87 / $1,361.16	Professional		$554.45	$647.87	$1,361.16
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 $490.08 / $640.64 / $1,498.50	Professional		$490.08	$640.64	$1,498.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $885.12 / $1,990.00 / $8,917.50	Facility		$885.12	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $885.12 / $885.12 / $885.12	Professional		$885.12	$885.12	$885.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.55 / $940.56 / $2,356.65	Professional		$625.55	$940.56	$2,356.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,681.76	Facility		$332.00	$610.00	$1,681.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $687.58 / $976.50 / $1,442.58	Professional		$687.58	$976.50	$1,442.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.45 / $590.45 / $590.45	Facility		$590.45	$590.45	$590.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.19 / $752.92 / $1,328.69	Professional		$512.19	$752.92	$1,328.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.34 / $847.34 / $868.95	Professional		$847.34	$847.34	$868.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $713.47	Facility		$555.00	$597.00	$713.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $648.38 / $940.56 / $2,179.02	Professional		$648.38	$940.56	$2,179.02
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 $554.54 / $797.39 / $1,920.49	Professional		$554.54	$797.39	$1,920.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $753.22 / $753.22 / $2,817.13	Facility		$753.22	$753.22	$2,817.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $783.35 / $1,592.18	Professional		$521.12	$783.35	$1,592.18