Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.20 / $2,884.50 / $7,735.00	Facility		$494.20	$2,884.50	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $495.72 / $950.53	Professional		$341.92	$495.72	$950.53
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 $438.79 / $557.29 / $1,167.50	Professional		$438.79	$557.29	$1,167.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.27 / $1,716.00 / $6,213.00	Facility		$507.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $507.27 / $507.27 / $758.41	Professional		$507.27	$507.27	$758.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $621.17 / $621.17	Facility		$621.17	$621.17	$621.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.15 / $662.90 / $1,691.12	Professional		$377.15	$662.90	$1,691.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $639.27 / $1,397.34	Facility		$332.00	$639.27	$1,397.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.13 / $805.19 / $1,183.60	Professional		$575.13	$805.19	$1,183.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.88 / $493.88 / $493.88	Facility		$493.88	$493.88	$493.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.98 / $632.05 / $1,114.97	Professional		$405.98	$632.05	$1,114.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.54 / $1,505.54 / $1,505.54	Facility		$1,505.54	$1,505.54	$1,505.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $399.18 / $501.63	Professional		$399.18	$399.18	$501.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $621.17	Facility		$555.00	$597.00	$621.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $705.86 / $1,657.28	Professional		$408.87	$705.86	$1,657.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,299.00 / $9,788.16	Facility		$2,062.00	$5,299.00	$9,788.16
United Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $653.13 / $1,652.93	Professional		$464.78	$653.13	$1,652.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $438.18 / $1,851.23	Facility		$438.18	$438.18	$1,851.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $688.27 / $1,114.97	Professional		$429.80	$688.27	$1,114.97