Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.42 / $3,414.00 / $9,523.00	Facility		$440.42	$3,414.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.48 / $519.59 / $958.92	Professional		$339.48	$519.59	$958.92
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 $365.77 / $454.50 / $1,112.26	Professional		$365.77	$454.50	$1,112.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $1,990.00 / $8,917.50	Facility		$493.50	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $493.50 / $493.50 / $777.58	Professional		$493.50	$493.50	$777.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $589.50 / $5,246.94	Facility		$589.50	$589.50	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $649.15 / $1,499.17	Professional		$348.39	$649.15	$1,499.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $346.00 / $907.07	Facility		$300.00	$346.00	$907.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.80 / $728.57 / $1,090.33	Professional		$558.80	$728.57	$1,090.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.46 / $502.46 / $862.75	Facility		$502.46	$502.46	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $648.50 / $1,006.47	Professional		$370.26	$648.50	$1,006.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,147.81 / $4,147.81 / $6,422.02	Facility		$4,147.81	$4,147.81	$6,422.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $589.50 / $5,246.94	Facility		$589.50	$589.50	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $358.51 / $687.72 / $1,397.03	Professional		$358.51	$687.72	$1,397.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $3,972.00 / $9,202.00	Facility		$1,652.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.67 / $601.71 / $1,334.00	Professional		$415.67	$601.71	$1,334.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $419.87 / $419.87 / $1,331.08	Facility		$419.87	$419.87	$1,331.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $727.32 / $1,109.45	Professional		$370.26	$727.32	$1,109.45