Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $2,561.00 / $7,095.00	Facility		$317.77	$2,561.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $455.80 / $915.50	Professional		$236.96	$455.80	$915.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $7,148.00	Facility		$2,373.00	$4,085.00	$7,148.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $481.23 / $1,030.85	Professional		$374.38	$481.23	$1,030.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $1,716.00 / $6,213.00	Facility		$320.50	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $320.50 / $320.50 / $712.96	Professional		$320.50	$320.50	$712.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $384.52 / $4,612.43	Facility		$384.52	$384.52	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $568.00 / $1,317.12	Professional		$286.97	$568.00	$1,317.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $332.00 / $617.04	Facility		$251.00	$332.00	$617.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $518.84 / $963.99	Professional		$254.65	$518.84	$963.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.55 / $445.55 / $639.45	Facility		$445.55	$445.55	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.95 / $743.41 / $1,200.69	Professional		$400.95	$743.41	$1,200.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.47 / $1,269.47 / $1,269.47	Facility		$1,269.47	$1,269.47	$1,269.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.81 / $342.81 / $342.81	Professional		$342.81	$342.81	$342.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $597.00 / $5,855.00	Facility		$384.52	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $620.38 / $1,268.85	Professional		$309.39	$620.38	$1,268.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,028.00	Facility		$1,269.00	$3,612.00	$8,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.42 / $530.91 / $1,232.86	Professional		$386.42	$530.91	$1,232.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $327.33 / $327.33 / $1,681.85	Facility		$327.33	$327.33	$1,681.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $400.95 / $743.41 / $1,200.69	Professional		$400.95	$743.41	$1,200.69