Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.55 / $2,942.87 / $8,907.44	Facility		$181.55	$2,942.87	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $247.64 / $479.73	Professional		$133.61	$247.64	$479.73
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 $200.42 / $286.24 / $572.26	Professional		$200.42	$286.24	$572.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.85 / $1,254.00 / $4,050.00	Facility		$189.85	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $189.85 / $382.74	Professional		$189.85	$189.85	$382.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $228.09 / $7,227.90	Facility		$228.09	$228.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $316.94 / $788.02	Professional		$145.11	$316.94	$788.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $203.00 / $353.45	Facility		$50.00	$203.00	$353.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $358.30 / $532.65	Professional		$276.57	$358.30	$532.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.46 / $245.46 / $245.46	Facility		$245.46	$245.46	$245.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $315.88 / $490.24	Professional		$182.95	$315.88	$490.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.78 / $2,592.78 / $2,592.78	Facility		$2,592.78	$2,592.78	$2,592.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.81 / $265.81 / $321.88	Professional		$265.81	$265.81	$321.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $496.33 / $7,227.90	Facility		$228.09	$496.33	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $341.43 / $711.00	Professional		$158.96	$341.43	$711.00
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 $210.35 / $306.83 / $668.22	Professional		$210.35	$306.83	$668.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $162.66 / $477.74	Facility		$162.66	$162.66	$477.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $345.82 / $501.59	Professional		$182.95	$345.82	$501.59