Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.50 / $2,626.00 / $8,233.20	Facility		$405.50	$2,626.00	$8,233.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $464.14 / $948.04	Professional		$295.99	$464.14	$948.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.03 / $447.10 / $1,045.61	Professional		$352.03	$447.10	$1,045.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $440.19 / $1,716.00 / $6,213.00	Facility		$440.19	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $440.19 / $440.19 / $665.07	Professional		$440.19	$440.19	$665.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $531.89 / $531.89	Facility		$531.89	$531.89	$531.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $583.12 / $1,478.93	Professional		$323.55	$583.12	$1,478.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $332.00 / $807.57	Facility		$65.00	$332.00	$807.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $495.70 / $687.77 / $1,008.85	Professional		$495.70	$687.77	$1,008.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.68 / $425.68 / $425.68	Facility		$425.68	$425.68	$425.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $549.42 / $969.20	Professional		$384.12	$549.42	$969.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,670.90 / $3,670.90 / $3,670.90	Facility		$3,670.90	$3,670.90	$3,670.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.86 / $400.86 / $445.41	Professional		$400.86	$400.86	$445.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $555.00 / $597.00	Facility		$531.89	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.83 / $617.24 / $1,462.12	Professional		$327.83	$617.24	$1,462.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $584.09 / $1,348.96	Professional		$410.70	$584.09	$1,348.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $376.47 / $376.47 / $1,563.66	Facility		$376.47	$376.47	$1,563.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $593.22 / $969.20	Professional		$384.12	$593.22	$969.20