Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.42 / $3,414.00 / $10,296.00	Facility		$560.42	$3,414.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.67 / $586.36 / $1,133.97	Professional		$426.67	$586.36	$1,133.97
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 $498.92 / $633.65 / $1,332.92	Professional		$498.92	$633.65	$1,332.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $611.88 / $1,990.00 / $8,917.50	Facility		$611.88	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $611.88 / $611.88 / $868.75	Professional		$611.88	$611.88	$868.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $739.15 / $739.15	Facility		$739.15	$739.15	$739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.74 / $760.83 / $1,915.47	Professional		$442.74	$760.83	$1,915.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $526.66 / $1,134.65	Facility		$332.00	$526.66	$1,134.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $905.67 / $1,329.13	Professional		$651.20	$905.67	$1,329.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $559.21 / $559.21	Facility		$559.21	$559.21	$559.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.01 / $723.51 / $1,276.29	Professional		$462.01	$723.51	$1,276.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $2,470.06 / $6,689.76	Facility		$979.50	$2,470.06	$6,689.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.15 / $615.15 / $1,113.50	Professional		$615.15	$615.15	$1,113.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $739.15	Facility		$555.00	$597.00	$739.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $443.16 / $813.15 / $1,905.43	Professional		$443.16	$813.15	$1,905.43
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 $521.70 / $760.91 / $1,893.43	Professional		$521.70	$760.91	$1,893.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $528.44 / $528.44 / $1,799.35	Facility		$528.44	$528.44	$1,799.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.99 / $779.31 / $1,276.29	Professional		$491.99	$779.31	$1,276.29