Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $5,239.22 / $10,140.00	Facility		$279.89	$5,239.22	$10,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $241.30 / $846.70	Professional		$196.44	$241.30	$846.70
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 $165.72 / $205.79 / $501.19	Professional		$165.72	$205.79	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.93 / $2,390.00 / $10,957.50	Facility		$293.93	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.93 / $293.93 / $293.93	Professional		$293.93	$293.93	$293.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $242.90 / $6,511.02	Facility		$242.90	$242.90	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $350.25 / $754.69	Professional		$164.41	$350.25	$754.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $319.00 / $564.44	Facility		$222.00	$319.00	$564.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $293.93 / $617.12	Professional		$225.77	$293.93	$617.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $1,040.38	Facility		$202.08	$202.08	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $251.82 / $394.80	Professional		$175.69	$251.82	$394.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.01 / $4,156.59 / $5,232.72	Facility		$1,471.01	$4,156.59	$5,232.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $555.00 / $6,511.02	Facility		$242.90	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $318.89 / $744.74	Professional		$215.55	$318.89	$744.74
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 $171.78 / $238.63 / $557.94	Professional		$171.78	$238.63	$557.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $258.37 / $1,040.38	Facility		$258.37	$258.37	$1,040.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $283.93 / $546.16	Professional		$194.12	$283.93	$546.16