Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.44 / $2,920.00 / $8,442.00	Facility		$442.44	$2,920.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $454.00 / $795.88	Professional		$301.82	$454.00	$795.88
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 $402.83 / $511.62 / $1,074.67	Professional		$402.83	$511.62	$1,074.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $1,716.00 / $6,213.00	Facility		$460.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $460.08 / $698.32	Professional		$460.08	$460.08	$698.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $558.83 / $558.83	Facility		$558.83	$558.83	$558.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.30 / $612.09 / $1,560.67	Professional		$345.30	$612.09	$1,560.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $565.00 / $904.00	Facility		$332.00	$565.00	$904.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.82 / $731.77 / $1,074.05	Professional		$525.82	$731.77	$1,074.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $451.54 / $451.54	Facility		$451.54	$451.54	$451.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.02 / $495.58 / $1,028.48	Professional		$384.02	$495.58	$1,028.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,926.99 / $4,926.99 / $4,926.99	Facility		$4,926.99	$4,926.99	$4,926.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $558.83 / $597.00	Facility		$555.00	$558.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $657.17 / $1,542.98	Professional		$383.42	$657.17	$1,542.98
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 $437.54 / $608.90 / $1,515.54	Professional		$437.54	$608.90	$1,515.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.44 / $397.44 / $1,606.45	Facility		$397.44	$397.44	$1,606.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $396.46 / $629.26 / $1,028.48	Professional		$396.46	$629.26	$1,028.48