Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.82 / $2,890.00 / $9,038.00	Facility		$188.82	$2,890.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $247.59 / $555.25	Professional		$122.41	$247.59	$555.25
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 $216.49 / $342.31 / $653.07	Professional		$216.49	$342.31	$653.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $1,254.00 / $4,050.00	Facility		$192.30	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $192.30 / $447.26	Professional		$192.30	$192.30	$447.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $233.97 / $3,479.91	Facility		$233.97	$233.97	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $335.96 / $833.21	Professional		$147.44	$335.96	$833.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $211.86 / $366.68	Facility		$100.00	$211.86	$366.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $420.26 / $624.41	Professional		$324.83	$420.26	$624.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.10 / $286.10 / $482.13	Facility		$286.10	$286.10	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $373.56 / $579.77	Professional		$195.34	$373.56	$579.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,580.27 / $3,727.71 / $8,109.52	Facility		$1,580.27	$3,727.71	$8,109.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $329.74 / $755.73	Professional		$185.00	$329.74	$755.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $555.00 / $3,723.97	Facility		$233.97	$555.00	$3,723.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $383.09 / $805.51	Professional		$161.76	$383.09	$805.51
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 $239.35 / $331.25 / $762.75	Professional		$239.35	$331.25	$762.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $165.46 / $488.15	Facility		$165.46	$165.46	$488.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $388.50 / $626.94	Professional		$195.34	$388.50	$626.94