Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.13 / $2,884.50 / $7,773.00	Facility		$339.13	$2,884.50	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $370.34 / $677.22	Professional		$266.18	$370.34	$677.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.37 / $385.47 / $806.84	Professional		$308.37	$385.47	$806.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $377.49 / $1,716.00 / $6,213.00	Facility		$377.49	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $377.49 / $377.49 / $523.11	Professional		$377.49	$377.49	$523.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $443.02 / $4,612.43	Facility		$443.02	$443.02	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.06 / $507.03 / $1,140.61	Professional		$273.06	$507.03	$1,140.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $327.60 / $687.42	Facility		$273.00	$327.60	$687.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $489.85 / $729.25	Professional		$374.53	$489.85	$729.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $336.06 / $639.45	Facility		$336.06	$336.06	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.57 / $433.48 / $672.76	Professional		$289.57	$433.48	$672.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.59 / $4,156.59 / $6,309.59	Facility		$4,156.59	$4,156.59	$6,309.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $555.00 / $4,612.43	Facility		$443.02	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.55 / $519.39 / $1,121.79	Professional		$281.55	$519.39	$1,121.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $420.08 / $1,029.46	Professional		$294.45	$420.08	$1,029.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.38 / $317.38 / $1,079.23	Facility		$317.38	$317.38	$1,079.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $289.57 / $486.16 / $764.66	Professional		$289.57	$486.16	$764.66