Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.85 / $2,920.00 / $7,839.00	Facility		$451.85	$2,920.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $446.02 / $915.60	Professional		$309.93	$446.02	$915.60
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 $388.24 / $493.09 / $1,065.11	Professional		$388.24	$493.09	$1,065.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $469.81 / $1,990.00 / $8,917.50	Facility		$469.81	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $469.81 / $469.81 / $682.75	Professional		$469.81	$469.81	$682.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.17 / $573.17 / $573.17	Facility		$573.17	$573.17	$573.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.48 / $593.16 / $1,548.60	Professional		$343.48	$593.16	$1,548.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $359.88 / $871.79	Facility		$300.00	$359.88	$871.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $517.57 / $717.35 / $1,051.95	Professional		$517.57	$717.35	$1,051.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.46 / $444.46 / $444.46	Facility		$444.46	$444.46	$444.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $572.79 / $1,010.43	Professional		$381.60	$572.79	$1,010.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.16 / $275.16 / $477.32	Facility		$275.16	$275.16	$477.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $478.72	Professional		$461.73	$461.73	$478.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $573.17 / $597.00	Facility		$555.00	$573.17	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $643.03 / $1,485.02	Professional		$374.21	$643.03	$1,485.02
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 $426.04 / $601.19 / $1,432.17	Professional		$426.04	$601.19	$1,432.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $406.95 / $406.95 / $1,595.81	Facility		$406.95	$406.95	$1,595.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $619.40 / $1,010.43	Professional		$389.50	$619.40	$1,010.43