Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $1,921.41 / $7,307.00	Facility		$83.49	$1,921.41	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $269.18 / $1,042.32	Professional		$64.86	$269.18	$1,042.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $653.49 / $1,488.61	Professional		$157.13	$653.49	$1,488.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $1,254.00 / $4,050.00	Facility		$92.93	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $92.93 / $933.25	Professional		$92.93	$92.93	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $111.56 / $3,479.91	Facility		$111.56	$111.56	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $300.00 / $1,533.43	Professional		$70.03	$300.00	$1,533.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $111.00 / $332.00	Facility		$72.00	$111.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $590.45 / $771.32 / $1,134.98	Professional		$590.45	$771.32	$1,134.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.74 / $521.74 / $521.74	Facility		$521.74	$521.74	$521.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $719.91 / $1,076.08	Professional		$503.00	$719.91	$1,076.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.12 / $1,922.00 / $3,087.99	Facility		$986.12	$1,922.00	$3,087.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $80.64 / $80.64	Professional		$80.64	$80.64	$80.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $555.00 / $3,479.91	Facility		$111.56	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $755.46 / $1,709.49	Professional		$78.16	$755.46	$1,709.49
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 $541.94 / $762.84 / $1,773.00	Professional		$541.94	$762.84	$1,773.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $76.95 / $275.02	Facility		$76.95	$76.95	$275.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $719.91 / $1,100.97	Professional		$203.34	$719.91	$1,100.97