Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.30 / $3,020.00 / $8,134.00	Facility		$465.30	$3,020.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.71 / $440.85 / $786.81	Professional		$362.71	$440.85	$786.81
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 $323.62 / $423.04 / $972.04	Professional		$323.62	$423.04	$972.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $547.08 / $1,716.00 / $6,213.00	Facility		$547.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $547.08 / $603.41	Professional		$547.08	$547.08	$603.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.21 / $591.40 / $1,482.56	Professional		$398.21	$591.40	$1,482.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $332.00 / $1,091.58	Facility		$135.00	$332.00	$1,091.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.09 / $700.12 / $1,032.97	Professional		$493.09	$700.12	$1,032.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.14 / $459.07 / $952.71	Professional		$334.14	$459.07	$952.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.09 / $497.09 / $497.09	Professional		$497.09	$497.09	$497.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $684.85	Facility		$555.00	$597.00	$684.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.79 / $602.27 / $1,459.77	Professional		$402.79	$602.27	$1,459.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,597.00 / $4,715.00	Facility		$1,252.00	$2,597.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.82 / $534.88 / $1,316.12	Professional		$373.82	$534.88	$1,316.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $488.75 / $488.75 / $1,598.97	Facility		$488.75	$488.75	$1,598.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $361.79 / $590.10 / $1,039.04	Professional		$361.79	$590.10	$1,039.04