Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.70 / $3,579.00 / $9,267.00	Facility		$258.70	$3,579.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $319.05 / $618.04	Professional		$182.94	$319.05	$618.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $346.62 / $766.23	Professional		$265.50	$346.62	$766.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $255.27 / $1,990.00 / $8,917.50	Facility		$255.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $255.27 / $255.27 / $478.24	Professional		$255.27	$255.27	$478.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.53 / $393.41 / $1,021.63	Professional		$192.53	$393.41	$1,021.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.20 / $336.00 / $610.00	Facility		$210.20	$336.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $513.64 / $727.07	Professional		$384.14	$513.64	$727.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.74 / $305.74 / $305.74	Facility		$305.74	$305.74	$305.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $395.36 / $697.43	Professional		$244.59	$395.36	$697.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,466.85 / $12,466.85 / $12,466.85	Facility		$12,466.85	$12,466.85	$12,466.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.35 / $259.35 / $262.20	Professional		$259.35	$259.35	$262.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $555.00 / $597.00	Facility		$310.52	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $426.60 / $1,046.49	Professional		$213.59	$426.60	$1,046.49
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 $302.97 / $437.62 / $1,034.97	Professional		$302.97	$437.62	$1,034.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.62 / $221.62 / $834.66	Facility		$221.62	$221.62	$834.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $426.08 / $697.43	Professional		$244.59	$426.08	$697.43