Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.49 / $3,325.00 / $8,670.00	Facility		$458.49	$3,325.00	$8,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.97 / $491.85 / $970.55	Professional		$320.97	$491.85	$970.55
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 $391.53 / $497.26 / $1,138.28	Professional		$391.53	$497.26	$1,138.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $1,990.00 / $8,917.50	Facility		$453.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.90 / $453.90 / $728.92	Professional		$453.90	$453.90	$728.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $603.66 / $603.66	Facility		$603.66	$603.66	$603.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.39 / $627.49 / $1,598.94	Professional		$350.39	$627.49	$1,598.94
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 $604.07 / $849.06 / $1,248.77	Professional		$604.07	$849.06	$1,248.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.74 / $518.74 / $518.74	Facility		$518.74	$518.74	$518.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.32 / $650.76 / $1,147.96	Professional		$393.32	$650.76	$1,147.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.52 / $450.52 / $868.08	Professional		$450.52	$450.52	$868.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $603.66	Facility		$555.00	$597.00	$603.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $385.93 / $667.80 / $1,598.20	Professional		$385.93	$667.80	$1,598.20
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 $450.93 / $648.42 / $1,522.75	Professional		$450.93	$648.42	$1,522.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $418.18 / $418.18 / $1,547.74	Facility		$418.18	$418.18	$1,547.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $418.18 / $722.92 / $1,147.96	Professional		$418.18	$722.92	$1,147.96