Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.50 / $3,659.00 / $10,194.49	Facility		$480.50	$3,659.00	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $522.54 / $1,107.83	Professional		$317.13	$522.54	$1,107.83
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 $375.80 / $466.68 / $1,120.48	Professional		$375.80	$466.68	$1,120.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $506.59 / $1,990.00 / $8,917.50	Facility		$506.59	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $506.59 / $753.91	Professional		$506.59	$506.59	$753.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $601.40 / $5,246.94	Facility		$601.40	$601.40	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $662.15 / $1,576.17	Professional		$355.25	$662.15	$1,576.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $383.90 / $939.15	Facility		$319.00	$383.90	$939.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $706.50 / $1,049.80	Professional		$546.14	$706.50	$1,049.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.02 / $483.02 / $862.75	Facility		$483.02	$483.02	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $685.89 / $962.40	Professional		$380.70	$685.89	$962.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,812.81 / $4,732.35 / $6,489.78	Facility		$1,812.81	$4,732.35	$6,489.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.14 / $596.79 / $851.91	Professional		$480.14	$596.79	$851.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $601.40 / $5,246.94	Facility		$597.00	$601.40	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.62 / $695.69 / $1,499.77	Professional		$413.62	$695.69	$1,499.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.47 / $605.00 / $1,479.05	Professional		$423.47	$605.00	$1,479.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $425.43 / $425.43 / $1,238.49	Facility		$425.43	$425.43	$1,238.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $695.47 / $1,093.88	Professional		$380.70	$695.47	$1,093.88