Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.17 / $3,414.00 / $10,024.00	Facility		$369.17	$3,414.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $397.43 / $693.68	Professional		$255.43	$397.43	$693.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.60 / $424.96 / $933.64	Professional		$334.60	$424.96	$933.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $378.69 / $1,990.00 / $8,917.50	Facility		$378.69	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $378.69 / $378.69 / $601.66	Professional		$378.69	$378.69	$601.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $464.36 / $464.36	Facility		$464.36	$464.36	$464.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $520.35 / $1,301.83	Professional		$281.85	$520.35	$1,301.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $293.44 / $332.00 / $712.28	Facility		$293.44	$332.00	$712.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $455.19 / $634.24 / $930.88	Professional		$455.19	$634.24	$930.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.89 / $390.89 / $390.89	Facility		$390.89	$390.89	$390.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.47 / $430.09 / $892.58	Professional		$340.47	$430.09	$892.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,216.46 / $2,873.19 / $6,229.78	Facility		$2,216.46	$2,873.19	$6,229.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.75 / $384.75 / $384.75	Professional		$384.75	$384.75	$384.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $555.00 / $597.00	Facility		$464.36	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $312.29 / $554.22 / $1,298.80	Professional		$312.29	$554.22	$1,298.80
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 $376.67 / $527.78 / $1,315.90	Professional		$376.67	$527.78	$1,315.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.46 / $331.46 / $1,341.64	Facility		$331.46	$331.46	$1,341.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $340.47 / $544.75 / $892.58	Professional		$340.47	$544.75	$892.58