Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.07 / $2,626.00 / $7,575.43	Facility		$230.07	$2,626.00	$7,575.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $274.30 / $585.10	Professional		$155.62	$274.30	$585.10
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 $233.27 / $337.50 / $658.66	Professional		$233.27	$337.50	$658.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $243.97 / $1,254.00 / $4,050.00	Facility		$243.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $243.97 / $441.64	Professional		$243.97	$243.97	$441.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $296.35 / $3,479.91	Facility		$296.35	$296.35	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.46 / $373.37 / $881.44	Professional		$188.46	$373.37	$881.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $250.00 / $461.61	Facility		$68.00	$250.00	$461.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.83 / $422.68 / $628.23	Professional		$326.83	$422.68	$628.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.20 / $288.20 / $482.13	Facility		$288.20	$288.20	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $409.25 / $579.95	Professional		$203.78	$409.25	$579.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.99 / $1,130.50 / $3,563.01	Facility		$962.99	$1,130.50	$3,563.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.62 / $412.10 / $414.46	Professional		$407.62	$412.10	$414.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $555.00 / $3,723.97	Facility		$296.35	$555.00	$3,723.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $397.28 / $824.75	Professional		$206.24	$397.28	$824.75
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 $242.65 / $345.85 / $866.84	Professional		$242.65	$345.85	$866.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.23 / $208.23 / $593.27	Facility		$208.23	$208.23	$593.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $419.10 / $593.37	Professional		$203.78	$419.10	$593.37