Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.13 / $4,258.00 / $10,170.00	Facility		$710.13	$4,258.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $640.76 / $1,117.09	Professional		$494.38	$640.76	$1,117.09
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 $438.84 / $544.96 / $1,286.75	Professional		$438.84	$544.96	$1,286.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.65 / $2,390.00 / $10,957.50	Facility		$794.65	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.65 / $794.65 / $794.65	Professional		$794.65	$794.65	$794.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.60 / $666.60 / $6,511.02	Facility		$666.60	$666.60	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.53 / $828.01 / $1,999.79	Professional		$485.53	$828.01	$1,999.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $547.79 / $1,591.85	Facility		$332.00	$547.79	$1,591.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $636.74 / $818.46 / $1,223.96	Professional		$636.74	$818.46	$1,223.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.96 / $548.96 / $1,040.38	Facility		$548.96	$548.96	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.75 / $673.97 / $1,084.18	Professional		$407.75	$673.97	$1,084.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.63 / $2,400.63 / $2,400.63	Facility		$2,400.63	$2,400.63	$2,400.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.00 / $762.00 / $762.00	Professional		$762.00	$762.00	$762.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $666.60 / $6,511.02	Facility		$597.00	$666.60	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $806.26 / $1,895.70	Professional		$566.47	$806.26	$1,895.70
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 $464.26 / $668.84 / $1,622.74	Professional		$464.26	$668.84	$1,622.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $698.57 / $698.57 / $1,874.22	Facility		$698.57	$698.57	$1,874.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.75 / $783.47 / $1,476.66	Professional		$407.75	$783.47	$1,476.66