Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.95 / $2,626.00 / $9,038.00	Facility		$110.95	$2,626.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $249.96 / $590.74	Professional		$72.44	$249.96	$590.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $314.45 / $916.93	Professional		$238.33	$314.45	$916.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $1,254.00 / $4,050.00	Facility		$99.48	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $99.48 / $607.49	Professional		$99.48	$99.48	$607.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $3,479.91	Facility		$118.37	$118.37	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $267.63 / $968.07	Professional		$77.39	$267.63	$968.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $119.10 / $332.00	Facility		$81.64	$119.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $571.14 / $856.71	Professional		$421.34	$571.14	$856.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.77 / $530.49 / $872.11	Professional		$325.77	$530.49	$872.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,679.65 / $4,640.54 / $11,361.64	Facility		$3,679.65	$4,640.54	$11,361.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $116.31 / $792.00	Professional		$86.49	$116.31	$792.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $3,479.91	Facility		$118.37	$118.37	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $388.53 / $970.46	Professional		$83.58	$388.53	$970.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $13,262.00	Facility		$2,337.00	$5,963.00	$13,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.28 / $445.37 / $1,072.89	Professional		$330.28	$445.37	$1,072.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $82.93 / $183.19	Facility		$82.93	$82.93	$183.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $494.39 / $872.11	Professional		$176.30	$494.39	$872.11