Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.17 / $3,646.00 / $10,577.10	Facility		$361.17	$3,646.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $404.50 / $691.75	Professional		$282.58	$404.50	$691.75
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 $282.49 / $350.81 / $861.32	Professional		$282.49	$350.81	$861.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $397.31 / $1,990.00 / $8,917.50	Facility		$397.31	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $397.31 / $397.31 / $555.35	Professional		$397.31	$397.31	$555.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $476.27 / $5,246.94	Facility		$476.27	$476.27	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.67 / $508.66 / $1,138.00	Professional		$276.67	$508.66	$1,138.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $304.82 / $353.00 / $746.37	Facility		$304.82	$353.00	$746.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $529.58 / $785.17	Professional		$406.49	$529.58	$785.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.83 / $361.83 / $862.75	Facility		$361.83	$361.83	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $416.10 / $717.38	Professional		$330.23	$416.10	$717.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,102.00 / $4,102.00 / $4,102.00	Facility		$4,102.00	$4,102.00	$4,102.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $555.00 / $5,246.94	Facility		$476.27	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $535.66 / $1,100.31	Professional		$304.85	$535.66	$1,100.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,311.00 / $10,065.00	Facility		$1,693.00	$4,311.00	$10,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.44 / $427.14 / $969.65	Professional		$312.44	$427.14	$969.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $342.34 / $342.34 / $1,093.98	Facility		$342.34	$342.34	$1,093.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $360.03 / $508.38 / $791.29	Professional		$360.03	$508.38	$791.29