Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.18 / $3,414.00 / $10,170.00	Facility		$440.18	$3,414.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $498.98 / $882.61	Professional		$328.27	$498.98	$882.61
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 $394.95 / $501.60 / $1,117.94	Professional		$394.95	$501.60	$1,117.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $453.02 / $1,990.00 / $8,917.50	Facility		$453.02	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.02 / $453.02 / $696.99	Professional		$453.02	$453.02	$696.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.61 / $555.61 / $555.61	Facility		$555.61	$555.61	$555.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.27 / $610.80 / $1,552.86	Professional		$343.27	$610.80	$1,552.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $437.00 / $851.94	Facility		$332.00	$437.00	$851.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $738.92 / $1,085.11	Professional		$529.69	$738.92	$1,085.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.86 / $454.86 / $454.86	Facility		$454.86	$454.86	$454.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.12 / $587.58 / $1,036.50	Professional		$401.12	$587.58	$1,036.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $446.02 / $446.02	Professional		$446.02	$446.02	$446.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.61 / $597.00	Facility		$555.00	$555.61	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $654.96 / $1,552.86	Professional		$376.03	$654.96	$1,552.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.49 / $617.99 / $1,515.73	Professional		$437.49	$617.99	$1,515.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $394.88 / $394.88 / $1,674.17	Facility		$394.88	$394.88	$1,674.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.12 / $633.90 / $1,036.50	Professional		$401.12	$633.90	$1,036.50