Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.67 / $2,465.00 / $9,661.00	Facility		$387.67	$2,465.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.43 / $412.25 / $821.86	Professional		$330.43	$412.25	$821.86
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 $337.85 / $419.55 / $891.14	Professional		$337.85	$419.55	$891.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $499.55 / $499.55 / $6,213.00	Facility		$499.55	$499.55	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $499.55 / $557.79	Professional		$499.55	$499.55	$557.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.67 / $613.67 / $613.67	Facility		$613.67	$613.67	$613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.47 / $550.85 / $1,343.33	Professional		$363.47	$550.85	$1,343.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $332.00 / $975.87	Facility		$80.00	$332.00	$975.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.92 / $632.84 / $932.96	Professional		$446.92	$632.84	$932.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.79 / $383.79 / $383.79	Facility		$383.79	$383.79	$383.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $489.66 / $863.77	Professional		$311.01	$489.66	$863.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.48 / $456.48 / $456.48	Professional		$456.48	$456.48	$456.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $613.67	Facility		$555.00	$597.00	$613.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $368.66 / $557.49 / $1,328.56	Professional		$368.66	$557.49	$1,328.56
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 $341.38 / $474.14 / $1,172.97	Professional		$341.38	$474.14	$1,172.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $439.51 / $439.51 / $1,108.11	Facility		$439.51	$439.51	$1,108.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $332.97 / $534.85 / $934.36	Professional		$332.97	$534.85	$934.36