Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.76 / $3,414.00 / $8,670.00	Facility		$354.76	$3,414.00	$8,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $392.92 / $673.02	Professional		$257.41	$392.92	$673.02
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 $334.43 / $424.74 / $902.52	Professional		$334.43	$424.74	$902.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $372.53 / $1,990.00 / $8,917.50	Facility		$372.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $372.53 / $372.53 / $585.95	Professional		$372.53	$372.53	$585.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $448.74	Facility		$448.74	$448.74	$448.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $505.23 / $1,258.03	Professional		$275.83	$505.23	$1,258.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.41 / $332.00 / $683.30	Facility		$282.41	$332.00	$683.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $434.20 / $602.53 / $883.53	Professional		$434.20	$602.53	$883.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.86 / $372.86 / $372.86	Facility		$372.86	$372.86	$372.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.37 / $484.67 / $854.98	Professional		$319.37	$484.67	$854.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.65 / $954.65 / $954.65	Facility		$954.65	$954.65	$954.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $377.83 / $377.83	Professional		$377.83	$377.83	$377.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $555.00 / $597.00	Facility		$448.74	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $303.83 / $540.65 / $1,264.28	Professional		$303.83	$540.65	$1,264.28
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 $364.46 / $515.50 / $1,204.07	Professional		$364.46	$515.50	$1,204.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $321.20 / $321.20 / $1,199.33	Facility		$321.20	$321.20	$1,199.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $519.62 / $854.98	Professional		$321.20	$519.62	$854.98