Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.21 / $2,884.50 / $9,267.00	Facility		$508.21	$2,884.50	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $521.09 / $1,025.24	Professional		$361.56	$521.09	$1,025.24
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 $446.78 / $567.42 / $1,194.22	Professional		$446.78	$567.42	$1,194.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $553.54 / $1,716.00 / $6,213.00	Facility		$553.54	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $553.54 / $553.54 / $766.49	Professional		$553.54	$553.54	$766.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.20 / $658.20 / $658.20	Facility		$658.20	$658.20	$658.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.54 / $694.81 / $1,749.60	Professional		$415.54	$694.81	$1,749.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,028.72	Facility		$150.00	$332.00	$1,028.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.63 / $794.85 / $1,170.83	Professional		$563.63	$794.85	$1,170.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.01 / $484.01 / $484.01	Facility		$484.01	$484.01	$484.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.58 / $628.00 / $1,107.81	Professional		$440.58	$628.00	$1,107.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.50 / $873.50 / $873.50	Facility		$873.50	$873.50	$873.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.88 / $963.88 / $963.88	Professional		$963.88	$963.88	$963.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $658.20	Facility		$555.00	$597.00	$658.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $415.54 / $723.41 / $1,766.34	Professional		$415.54	$723.41	$1,766.34
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 $473.12 / $678.19 / $1,594.08	Professional		$473.12	$678.19	$1,594.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $469.26 / $469.26 / $1,135.77	Facility		$469.26	$469.26	$1,135.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $444.09 / $674.52 / $1,107.81	Professional		$444.09	$674.52	$1,107.81