Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $3,016.00 / $10,686.00	Facility		$188.09	$3,016.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $448.26 / $978.07	Professional		$149.81	$448.26	$978.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,131.00 / $9,074.00	Facility		$2,393.00	$4,131.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $641.99 / $1,479.69	Professional		$440.32	$641.99	$1,479.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $193.61 / $193.61 / $6,213.00	Facility		$193.61	$193.61	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $193.61 / $880.19	Professional		$193.61	$193.61	$880.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $14,648.00	Facility		$235.63	$235.63	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $500.94 / $1,521.19	Professional		$149.41	$500.94	$1,521.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $180.00 / $363.47	Facility		$105.00	$180.00	$363.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $800.86 / $1,201.29	Professional		$590.79	$800.86	$1,201.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.89 / $765.74 / $1,217.55	Professional		$497.89	$765.74	$1,217.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,144.51 / $1,144.51 / $2,147.98	Facility		$1,144.51	$1,144.51	$2,147.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.12 / $743.12 / $1,161.31	Professional		$743.12	$743.12	$1,161.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $597.00	Facility		$235.63	$235.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $635.45 / $1,537.41	Professional		$156.44	$635.45	$1,537.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $755.52 / $1,728.73	Professional		$516.89	$755.52	$1,728.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $171.39 / $591.49	Facility		$171.39	$171.39	$591.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $425.64 / $734.39 / $1,217.55	Professional		$425.64	$734.39	$1,217.55