Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.28 / $4,392.00 / $10,024.00	Facility		$546.28	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.14 / $405.93 / $823.21	Professional		$356.14	$405.93	$823.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.66 / $403.49 / $936.73	Professional		$308.66	$403.49	$936.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.83 / $1,990.00 / $8,917.50	Facility		$549.83	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.83 / $549.83 / $549.83	Professional		$549.83	$549.83	$549.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $443.04 / $443.04	Facility		$443.04	$443.04	$443.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.20 / $643.48 / $1,396.24	Professional		$382.20	$643.48	$1,396.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $640.00 / $1,024.00	Facility		$332.00	$640.00	$1,024.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $581.51 / $849.35	Professional		$429.66	$581.51	$849.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.96 / $368.96 / $368.96	Facility		$368.96	$368.96	$368.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $400.41 / $830.97	Professional		$321.05	$400.41	$830.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.94 / $988.94 / $5,943.88	Facility		$988.94	$988.94	$5,943.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.83 / $546.83 / $719.44	Professional		$546.83	$546.83	$719.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $555.00 / $597.00	Facility		$443.04	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $650.92 / $1,366.07	Professional		$398.95	$650.92	$1,366.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.34 / $499.74 / $1,189.55	Professional		$353.34	$499.74	$1,189.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $471.07 / $471.07 / $2,114.06	Facility		$471.07	$471.07	$2,114.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $514.19 / $995.76	Professional		$368.96	$514.19	$995.76