Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.62 / $4,972.00 / $10,965.00	Facility		$341.62	$4,972.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $305.29 / $693.20	Professional		$244.34	$305.29	$693.20
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 $209.61 / $260.30 / $598.99	Professional		$209.61	$260.30	$598.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $372.09 / $2,390.00 / $10,957.50	Facility		$372.09	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $372.09 / $372.09	Professional		$372.09	$372.09	$372.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $306.14 / $6,511.02	Facility		$306.14	$306.14	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.48 / $439.69 / $925.86	Professional		$207.48	$439.69	$925.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $290.31 / $332.00 / $710.69	Facility		$290.31	$332.00	$710.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $370.15 / $553.02	Professional		$284.27	$370.15	$553.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.85 / $254.85 / $1,040.38	Facility		$254.85	$254.85	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $317.56 / $497.43	Professional		$221.37	$317.56	$497.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,364.70 / $6,242.96 / $9,544.99	Facility		$3,364.70	$6,242.96	$9,544.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $555.00 / $7,771.36	Facility		$306.14	$555.00	$7,771.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $398.96 / $879.03	Professional		$271.39	$398.96	$879.03
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 $220.67 / $305.54 / $679.39	Professional		$220.67	$305.54	$679.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $325.55 / $325.55 / $1,060.30	Facility		$325.55	$325.55	$1,060.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $358.06 / $688.15	Professional		$245.93	$358.06	$688.15