Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.86 / $3,016.00 / $8,020.00	Facility		$394.86	$3,016.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $428.71 / $791.75	Professional		$315.58	$428.71	$791.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $387.03 / $1,003.96	Professional		$296.07	$387.03	$1,003.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $427.62 / $1,716.00 / $6,213.00	Facility		$427.62	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $427.62 / $571.33	Professional		$427.62	$427.62	$571.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.43 / $510.43 / $4,612.43	Facility		$510.43	$510.43	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.27 / $617.88 / $1,439.06	Professional		$297.27	$617.88	$1,439.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $339.90 / $794.43	Facility		$278.00	$339.90	$794.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.64 / $543.94 / $814.03	Professional		$465.64	$543.94	$814.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $483.92 / $751.05	Professional		$320.27	$483.92	$751.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,916.49 / $2,916.49 / $2,916.49	Facility		$2,916.49	$2,916.49	$2,916.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $373.27 / $373.27	Professional		$373.27	$373.27	$373.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $510.43 / $555.00 / $4,612.43	Facility		$510.43	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $625.48 / $1,439.06	Professional		$321.83	$625.48	$1,439.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $7,939.00	Facility		$2,264.00	$4,114.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $483.81 / $1,134.58	Professional		$323.33	$483.81	$1,134.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $365.86 / $365.86 / $1,241.95	Facility		$365.86	$365.86	$1,241.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $503.27 / $853.65	Professional		$320.27	$503.27	$853.65