Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.94 / $2,920.00 / $9,254.95	Facility		$180.94	$2,920.00	$9,254.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $349.76 / $1,069.70	Professional		$135.63	$349.76	$1,069.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.79 / $654.14 / $1,607.92	Professional		$398.79	$654.14	$1,607.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.97 / $1,254.00 / $4,050.00	Facility		$184.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $184.97 / $988.52	Professional		$184.97	$184.97	$988.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $222.24 / $13,296.25	Facility		$222.24	$222.24	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $472.54 / $1,689.64	Professional		$147.22	$472.54	$1,689.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $218.59 / $346.00	Facility		$145.65	$218.59	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.39 / $826.96 / $1,219.41	Professional		$632.39	$826.96	$1,219.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.94 / $561.94 / $639.45	Facility		$561.94	$561.94	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.36 / $771.56 / $1,149.59	Professional		$537.36	$771.56	$1,149.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,700.73 / $3,700.73 / $11,361.64	Facility		$3,700.73	$3,700.73	$11,361.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $555.00 / $13,296.25	Facility		$222.24	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $748.54 / $1,743.56	Professional		$164.04	$748.54	$1,743.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,099.00 / $11,098.00	Facility		$2,063.00	$5,099.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $811.77 / $1,793.07	Professional		$575.77	$811.77	$1,793.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $154.34 / $561.94	Facility		$154.34	$154.34	$561.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $771.56 / $1,176.20	Professional		$407.82	$771.56	$1,176.20