Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.71 / $4,051.00 / $9,868.00	Facility		$582.71	$4,051.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $551.74 / $1,102.43	Professional		$446.02	$551.74	$1,102.43
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 $344.48 / $427.79 / $1,076.46	Professional		$344.48	$427.79	$1,076.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $675.99 / $1,990.00 / $8,917.50	Facility		$675.99	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $675.99 / $675.99 / $675.99	Professional		$675.99	$675.99	$675.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $548.30 / $5,246.94	Facility		$548.30	$548.30	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.98 / $711.00 / $1,769.57	Professional		$405.98	$711.00	$1,769.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $442.20 / $1,309.21	Facility		$325.00	$442.20	$1,309.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $523.67 / $673.19 / $1,006.64	Professional		$523.67	$673.19	$1,006.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.53 / $451.53 / $862.75	Facility		$451.53	$451.53	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $576.40 / $894.58	Professional		$336.79	$576.40	$894.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,675.56 / $3,675.56 / $3,675.56	Facility		$3,675.56	$3,675.56	$3,675.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.07 / $628.07 / $628.07	Professional		$628.07	$628.07	$628.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $555.00 / $5,246.94	Facility		$548.30	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $694.28 / $1,612.01	Professional		$450.00	$694.28	$1,612.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,370.00 / $9,187.00	Facility		$1,693.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.95 / $564.16 / $1,296.33	Professional		$395.95	$564.16	$1,296.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $576.40 / $576.40 / $1,499.90	Facility		$576.40	$576.40	$1,499.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $646.46 / $1,218.43	Professional		$336.79	$646.46	$1,218.43