Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.12 / $2,884.50 / $8,442.00	Facility		$331.12	$2,884.50	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $365.12 / $650.15	Professional		$248.00	$365.12	$650.15
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 $301.75 / $390.72 / $794.80	Professional		$301.75	$390.72	$794.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $350.95 / $1,716.00 / $6,213.00	Facility		$350.95	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $350.95 / $350.95 / $520.44	Professional		$350.95	$350.95	$520.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $420.40 / $4,612.43	Facility		$420.40	$420.40	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.46 / $470.21 / $1,076.61	Professional		$254.46	$470.21	$1,076.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $319.00 / $661.16	Facility		$256.00	$319.00	$661.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.40 / $491.58 / $731.81	Professional		$379.40	$491.58	$731.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.24 / $337.24 / $639.45	Facility		$337.24	$337.24	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.07 / $439.12 / $681.52	Professional		$277.07	$439.12	$681.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,316.80 / $3,316.80 / $5,264.35	Facility		$3,316.80	$3,316.80	$5,264.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $555.00 / $4,612.43	Facility		$420.40	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $491.82 / $1,023.86	Professional		$275.00	$491.82	$1,023.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $5,547.00 / $13,746.00	Facility		$2,092.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $412.19 / $993.60	Professional		$288.08	$412.19	$993.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $302.89 / $302.89 / $1,018.90	Facility		$302.89	$302.89	$1,018.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $277.07 / $492.49 / $774.62	Professional		$277.07	$492.49	$774.62