Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.33 / $4,495.38 / $10,170.00	Facility		$553.33	$4,495.38	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.94 / $443.09 / $1,112.47	Professional		$377.94	$443.09	$1,112.47
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 $351.41 / $459.36 / $1,046.48	Professional		$351.41	$459.36	$1,046.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $594.15 / $1,990.00 / $8,917.50	Facility		$594.15	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $594.15 / $594.15 / $594.15	Professional		$594.15	$594.15	$594.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $483.58	Facility		$483.58	$483.58	$483.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.83 / $656.20 / $1,528.23	Professional		$425.83	$656.20	$1,528.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $570.00 / $1,123.13	Facility		$332.00	$570.00	$1,123.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $654.82 / $963.40	Professional		$468.80	$654.82	$963.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.58 / $402.58 / $402.58	Facility		$402.58	$402.58	$402.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $509.97 / $899.60	Professional		$351.08	$509.97	$899.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,461.05 / $5,461.05 / $5,461.05	Facility		$5,461.05	$5,461.05	$5,461.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $581.88 / $581.88	Professional		$581.88	$581.88	$581.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $555.00 / $597.00	Facility		$483.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $435.04 / $646.38 / $1,455.15	Professional		$435.04	$646.38	$1,455.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.87 / $552.63 / $1,352.31	Professional		$378.87	$552.63	$1,352.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $509.97 / $509.97 / $2,060.32	Facility		$509.97	$509.97	$2,060.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.84 / $561.04 / $1,077.99	Professional		$374.84	$561.04	$1,077.99