Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.46 / $3,316.00 / $8,442.00	Facility		$357.46	$3,316.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $361.85 / $717.07	Professional		$210.68	$361.85	$717.07
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 $327.27 / $412.89 / $764.23	Professional		$327.27	$412.89	$764.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $543.87 / $1,254.00 / $4,050.00	Facility		$543.87	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $543.87 / $543.87 / $543.87	Professional		$543.87	$543.87	$543.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $430.39 / $3,479.91	Facility		$430.39	$430.39	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.14 / $480.54 / $1,198.08	Professional		$266.14	$480.54	$1,198.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $332.00 / $1,003.01	Facility		$70.00	$332.00	$1,003.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $521.39 / $775.99	Professional		$401.20	$521.39	$775.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.60 / $357.60 / $482.13	Facility		$357.60	$357.60	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $456.45 / $708.42	Professional		$234.91	$456.45	$708.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.41 / $8,179.41 / $13,099.78	Facility		$1,132.41	$8,179.41	$13,099.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.86 / $283.86 / $913.79	Professional		$283.86	$283.86	$913.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $555.00 / $3,723.97	Facility		$430.39	$555.00	$3,723.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $504.57 / $1,092.53	Professional		$284.85	$504.57	$1,092.53
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 $305.13 / $429.12 / $987.51	Professional		$305.13	$429.12	$987.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $456.45 / $456.45 / $810.31	Facility		$456.45	$456.45	$810.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $511.93 / $964.87	Professional		$234.91	$511.93	$964.87