Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.67 / $3,646.00 / $9,648.00	Facility		$423.67	$3,646.00	$9,648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $460.87 / $821.70	Professional		$295.29	$460.87	$821.70
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 $377.90 / $479.95 / $1,080.61	Professional		$377.90	$479.95	$1,080.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $439.55 / $1,990.00 / $8,917.50	Facility		$439.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $439.55 / $439.55 / $693.55	Professional		$439.55	$439.55	$693.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $535.53 / $535.53	Facility		$535.53	$535.53	$535.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.49 / $603.48 / $1,501.57	Professional		$329.49	$603.48	$1,501.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $440.00 / $817.92	Facility		$332.00	$440.00	$817.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.28 / $724.49 / $1,063.43	Professional		$520.28	$724.49	$1,063.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.78 / $446.78 / $446.78	Facility		$446.78	$446.78	$446.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $576.69 / $1,017.30	Professional		$394.23	$576.69	$1,017.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $1,740.63 / $8,021.98	Facility		$1,740.63	$1,740.63	$8,021.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $444.29 / $695.44	Professional		$417.92	$444.29	$695.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $555.00 / $597.00	Facility		$535.53	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $360.93 / $641.90 / $1,512.08	Professional		$360.93	$641.90	$1,512.08
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 $436.80 / $611.37 / $1,532.27	Professional		$436.80	$611.37	$1,532.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $380.05 / $1,523.78	Facility		$380.05	$380.05	$1,523.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $622.63 / $1,017.30	Professional		$394.23	$622.63	$1,017.30