Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.76 / $3,414.00 / $10,170.00	Facility		$360.76	$3,414.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $401.30 / $718.75	Professional		$255.42	$401.30	$718.75
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 $315.91 / $401.23 / $921.83	Professional		$315.91	$401.23	$921.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $376.53 / $1,990.00 / $8,917.50	Facility		$376.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $376.53 / $376.53 / $591.38	Professional		$376.53	$376.53	$591.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $456.19 / $456.19	Facility		$456.19	$456.19	$456.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $510.85 / $1,287.16	Professional		$279.89	$510.85	$1,287.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $287.11 / $332.00 / $695.95	Facility		$287.11	$332.00	$695.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $611.70 / $897.37	Professional		$440.10	$611.70	$897.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.93 / $377.93 / $377.93	Facility		$377.93	$377.93	$377.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $481.92 / $862.62	Professional		$328.99	$481.92	$862.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.66 / $301.66 / $345.00	Facility		$301.66	$301.66	$345.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $381.47 / $381.47	Professional		$300.26	$381.47	$381.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $555.00 / $597.00	Facility		$456.19	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $547.27 / $1,295.18	Professional		$307.38	$547.27	$1,295.18
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 $364.30 / $518.25 / $1,256.96	Professional		$364.30	$518.25	$1,256.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $324.74 / $324.74 / $1,327.84	Facility		$324.74	$324.74	$1,327.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $508.57 / $862.62	Professional		$328.99	$508.57	$862.62