Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.88 / $4,150.00 / $10,686.00	Facility		$242.88	$4,150.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $221.13 / $414.16	Professional		$172.52	$221.13	$414.16
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 $153.91 / $191.13 / $437.84	Professional		$153.91	$191.13	$437.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $2,390.00 / $10,957.50	Facility		$273.20	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Professional		$273.20	$273.20	$273.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $226.54 / $6,511.02	Facility		$226.54	$226.54	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $321.10 / $697.33	Professional		$152.76	$321.10	$697.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $310.88 / $526.59	Facility		$218.00	$310.88	$526.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $274.25 / $408.85	Professional		$210.64	$274.25	$408.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.41 / $188.41 / $1,040.38	Facility		$188.41	$188.41	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $234.78 / $368.53	Professional		$164.00	$234.78	$368.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.35 / $2,463.35 / $5,344.89	Facility		$2,463.35	$2,463.35	$5,344.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $555.00 / $6,511.02	Facility		$226.54	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.98 / $288.95 / $682.38	Professional		$197.98	$288.95	$682.38
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 $166.36 / $235.51 / $537.86	Professional		$166.36	$235.51	$537.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $241.18 / $241.18 / $1,040.38	Facility		$241.18	$241.18	$1,040.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $264.72 / $509.82	Professional		$170.17	$264.72	$509.82