Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.76 / $2,952.00 / $8,134.00	Facility		$340.76	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $361.15 / $608.07	Professional		$235.22	$361.15	$608.07
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 $301.99 / $383.54 / $834.66	Professional		$301.99	$383.54	$834.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $329.96 / $1,716.00 / $6,213.00	Facility		$329.96	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.96 / $329.96 / $529.53	Professional		$329.96	$329.96	$529.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.99 / $400.99 / $400.99	Facility		$400.99	$400.99	$400.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $461.76 / $1,163.71	Professional		$255.00	$461.76	$1,163.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.06 / $332.00 / $605.61	Facility		$251.06	$332.00	$605.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.64 / $547.28 / $801.90	Professional		$395.64	$547.28	$801.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $339.75 / $339.75	Facility		$339.75	$339.75	$339.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.47 / $373.24 / $774.59	Professional		$313.47	$373.24	$774.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.89 / $2,008.89 / $2,008.89	Facility		$2,008.89	$2,008.89	$2,008.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $400.99 / $555.00 / $597.00	Facility		$400.99	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $495.23 / $1,160.88	Professional		$275.04	$495.23	$1,160.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,299.00 / $9,788.16	Facility		$2,062.00	$5,299.00	$9,788.16
United Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $474.96 / $1,159.28	Professional		$335.75	$474.96	$1,159.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $285.10 / $285.10 / $1,252.95	Facility		$285.10	$285.10	$1,252.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $456.67 / $774.59	Professional		$320.55	$456.67	$774.59