Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $4,875.25 / $10,686.00	Facility		$527.62	$4,875.25	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.15 / $452.03 / $1,090.15	Professional		$377.15	$452.03	$1,090.15
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 $370.78 / $470.15 / $1,022.60	Professional		$370.78	$470.15	$1,022.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $591.26 / $2,390.00 / $10,957.50	Facility		$591.26	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $591.26 / $591.26 / $591.26	Professional		$591.26	$591.26	$591.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.86 / $649.13 / $1,612.49	Professional		$422.86	$649.13	$1,612.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $443.20 / $1,136.83	Facility		$251.00	$443.20	$1,136.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.21 / $658.54 / $975.15	Professional		$460.21	$658.54	$975.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.20 / $395.20 / $395.20	Facility		$395.20	$395.20	$395.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $427.68 / $887.57	Professional		$342.14	$427.68	$887.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,992.26 / $3,929.74 / $5,675.55	Facility		$2,992.26	$3,929.74	$5,675.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.84 / $756.84 / $1,002.53	Professional		$756.84	$756.84	$1,002.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $555.00 / $597.00	Facility		$478.75	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $629.03 / $1,482.87	Professional		$416.30	$629.03	$1,482.87
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 $373.67 / $552.02 / $1,328.02	Professional		$373.67	$552.02	$1,328.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.15 / $503.15 / $1,133.04	Facility		$503.15	$503.15	$1,133.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.44 / $550.75 / $1,063.58	Professional		$371.44	$550.75	$1,063.58