Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.83 / $2,884.50 / $9,038.00	Facility		$427.83	$2,884.50	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $477.55 / $866.74	Professional		$331.98	$477.55	$866.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $396.29 / $1,011.58	Professional		$319.11	$396.29	$1,011.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $475.07 / $1,716.00 / $6,213.00	Facility		$475.07	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $475.07 / $475.07 / $667.96	Professional		$475.07	$475.07	$667.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $550.69 / $4,612.43	Facility		$550.69	$550.69	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.59 / $618.86 / $1,405.60	Professional		$339.59	$618.86	$1,405.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $387.00 / $845.33	Facility		$327.00	$387.00	$845.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.64 / $618.05 / $906.50	Professional		$509.64	$618.05	$906.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $639.45	Facility		$417.74	$417.74	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $532.62 / $826.63	Professional		$334.19	$532.62	$826.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,011.96 / $3,011.96 / $3,011.96	Facility		$3,011.96	$3,011.96	$3,011.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $597.00 / $16,269.00	Facility		$550.69	$597.00	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $366.84 / $645.77 / $1,383.45	Professional		$366.84	$645.77	$1,383.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $10,452.00	Facility		$1,693.00	$3,972.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.46 / $513.79 / $1,185.78	Professional		$370.46	$513.79	$1,185.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.68 / $389.68 / $1,364.56	Facility		$389.68	$389.68	$1,364.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $561.02 / $939.56	Professional		$334.19	$561.02	$939.56