Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.58 / $3,414.00 / $9,038.00	Facility		$338.58	$3,414.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $425.62 / $843.42	Professional		$259.43	$425.62	$843.42
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 $273.02 / $339.05 / $898.13	Professional		$273.02	$339.05	$898.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.58 / $363.58 / $8,917.50	Facility		$363.58	$363.58	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.58 / $363.58 / $605.16	Professional		$363.58	$363.58	$605.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $446.22 / $5,246.94	Facility		$446.22	$446.22	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $514.84 / $1,219.95	Professional		$277.51	$514.84	$1,219.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $324.00 / $695.43	Facility		$250.00	$324.00	$695.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $447.95 / $580.44 / $864.55	Professional		$447.95	$580.44	$864.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $398.41 / $398.41	Facility		$398.41	$398.41	$398.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $519.79 / $806.72	Professional		$299.14	$519.79	$806.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,447.51 / $5,447.51 / $5,447.51	Facility		$5,447.51	$5,447.51	$5,447.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $555.00 / $5,246.94	Facility		$446.22	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $290.11 / $543.11 / $1,181.09	Professional		$290.11	$543.11	$1,181.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.95 / $459.52 / $1,038.23	Professional		$327.95	$459.52	$1,038.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $318.41 / $318.41 / $1,043.90	Facility		$318.41	$318.41	$1,043.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $582.97 / $872.36	Professional		$299.14	$582.97	$872.36