Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.75 / $3,414.00 / $9,267.00	Facility		$336.75	$3,414.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.15 / $370.97 / $638.67	Professional		$241.15	$370.97	$638.67
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 $318.95 / $405.10 / $865.78	Professional		$318.95	$405.10	$865.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.55 / $1,990.00 / $8,917.50	Facility		$347.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $347.55 / $347.55 / $558.58	Professional		$347.55	$347.55	$558.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Facility		$425.74	$425.74	$425.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $483.36 / $1,198.22	Professional		$258.68	$483.36	$1,198.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $332.00 / $650.79	Facility		$267.95	$332.00	$650.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $419.53 / $584.46 / $857.89	Professional		$419.53	$584.46	$857.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.27 / $360.27 / $360.27	Facility		$360.27	$360.27	$360.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $468.39 / $826.26	Professional		$307.70	$468.39	$826.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $357.00 / $357.00	Professional		$357.00	$357.00	$357.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $555.00 / $597.00	Facility		$425.74	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $289.82 / $514.88 / $1,206.64	Professional		$289.82	$514.88	$1,206.64
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 $352.63 / $509.35 / $1,226.38	Professional		$352.63	$509.35	$1,226.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $304.52 / $304.52 / $1,223.67	Facility		$304.52	$304.52	$1,223.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $502.07 / $826.26	Professional		$307.70	$502.07	$826.26