Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.76 / $2,626.00 / $7,343.00	Facility		$297.76	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $343.91 / $632.89	Professional		$212.83	$343.91	$632.89
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 $241.70 / $305.33 / $761.65	Professional		$241.70	$305.33	$761.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $327.58 / $1,254.00 / $4,050.00	Facility		$327.58	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $327.58 / $509.50	Professional		$327.58	$327.58	$509.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $388.44 / $3,479.91	Facility		$388.44	$388.44	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $444.73 / $1,021.17	Professional		$232.92	$444.73	$1,021.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $279.51 / $608.45	Facility		$100.00	$279.51	$608.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $482.72 / $717.62	Professional		$373.33	$482.72	$717.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.20 / $329.20 / $482.13	Facility		$329.20	$329.20	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $421.10 / $653.54	Professional		$255.20	$421.10	$653.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,237.88 / $1,653.55 / $4,768.07	Facility		$1,237.88	$1,653.55	$4,768.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.01 / $310.01 / $313.42	Professional		$310.01	$310.01	$313.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $555.00 / $3,479.91	Facility		$388.44	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.29 / $463.25 / $994.02	Professional		$243.29	$463.25	$994.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.54 / $397.61 / $977.87	Professional		$284.54	$397.61	$977.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $273.42 / $273.42 / $794.27	Facility		$273.42	$273.42	$794.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $442.12 / $722.48	Professional		$255.20	$442.12	$722.48