Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.61 / $2,952.00 / $8,134.00	Facility		$465.61	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.84 / $407.19 / $784.02	Professional		$329.84	$407.19	$784.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $399.08 / $896.90	Professional		$306.68	$399.08	$896.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $504.33 / $1,716.00 / $6,213.00	Facility		$504.33	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $504.33 / $504.33 / $559.24	Professional		$504.33	$504.33	$559.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.75 / $700.75 / $700.75	Facility		$700.75	$700.75	$700.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.11 / $573.32 / $1,418.40	Professional		$370.11	$573.32	$1,418.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,115.06	Facility		$332.00	$520.00	$1,115.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.91 / $696.52 / $1,063.58	Professional		$506.91	$696.52	$1,063.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.30 / $435.30 / $435.30	Facility		$435.30	$435.30	$435.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $470.93 / $977.33	Professional		$332.84	$470.93	$977.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,114.66 / $5,114.66 / $5,114.66	Facility		$5,114.66	$5,114.66	$5,114.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.16 / $499.16 / $499.16	Professional		$499.16	$499.16	$499.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $700.75	Facility		$555.00	$597.00	$700.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $392.97 / $583.41 / $1,366.13	Professional		$392.97	$583.41	$1,366.13
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.44 / $504.29 / $1,222.49	Professional		$345.44	$504.29	$1,222.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $497.17 / $1,733.27	Facility		$497.17	$497.17	$1,733.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.41 / $606.64 / $1,056.94	Professional		$342.41	$606.64	$1,056.94