Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.09 / $3,414.00 / $8,521.00	Facility		$486.09	$3,414.00	$8,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $502.11 / $1,049.44	Professional		$330.25	$502.11	$1,049.44
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 $436.89 / $554.88 / $1,218.15	Professional		$436.89	$554.88	$1,218.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $510.43 / $1,990.00 / $8,917.50	Facility		$510.43	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $510.43 / $510.43 / $783.53	Professional		$510.43	$510.43	$783.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.27 / $627.27 / $627.27	Facility		$627.27	$627.27	$627.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.76 / $677.91 / $1,747.73	Professional		$375.76	$677.91	$1,747.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,066.00	Facility		$332.00	$520.00	$1,066.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.28 / $829.25 / $1,217.56	Professional		$595.28	$829.25	$1,217.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.19 / $511.19 / $511.19	Facility		$511.19	$511.19	$511.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.14 / $651.86 / $1,155.27	Professional		$431.14	$651.86	$1,155.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.25 / $2,118.25 / $2,543.92	Facility		$2,118.25	$2,118.25	$2,543.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $627.27	Facility		$555.00	$597.00	$627.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $418.28 / $720.68 / $1,747.73	Professional		$418.28	$720.68	$1,747.73
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 $491.37 / $698.84 / $1,655.20	Professional		$491.37	$698.84	$1,655.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $441.68 / $441.68 / $1,706.95	Facility		$441.68	$441.68	$1,706.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $441.68 / $681.11 / $1,155.27	Professional		$441.68	$681.11	$1,155.27