Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $4,308.00 / $9,969.75	Facility		$594.04	$4,308.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.83 / $493.87 / $1,086.66	Professional		$428.83	$493.87	$1,086.66
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 $416.20 / $527.74 / $1,144.46	Professional		$416.20	$527.74	$1,144.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $659.86 / $2,390.00 / $10,957.50	Facility		$659.86	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $659.86 / $659.86 / $659.86	Professional		$659.86	$659.86	$659.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $534.66	Facility		$534.66	$534.66	$534.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.66 / $723.44 / $1,810.03	Professional		$474.66	$723.44	$1,810.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $494.40 / $1,269.65	Facility		$281.00	$494.40	$1,269.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $734.89 / $1,089.08	Professional		$512.41	$734.89	$1,089.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.03 / $440.03 / $440.03	Facility		$440.03	$440.03	$440.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.89 / $561.61 / $990.69	Professional		$381.89	$561.61	$990.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,005.43 / $3,005.43 / $4,013.74	Facility		$3,005.43	$3,005.43	$4,013.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $555.00 / $597.00	Facility		$534.66	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $465.01 / $710.45 / $1,658.05	Professional		$465.01	$710.45	$1,658.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.21 / $621.50 / $1,558.93	Professional		$424.21	$621.50	$1,558.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $561.61 / $561.61 / $1,269.30	Facility		$561.61	$561.61	$1,269.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $415.79 / $613.23 / $1,187.15	Professional		$415.79	$613.23	$1,187.15