Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.92 / $2,518.00 / $7,632.44	Facility		$186.92	$2,518.00	$7,632.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $563.55 / $1,374.67	Professional		$139.08	$563.55	$1,374.67
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 $326.33 / $847.89 / $1,929.35	Professional		$326.33	$847.89	$1,929.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $193.45 / $1,254.00 / $4,050.00	Facility		$193.45	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $193.45 / $193.45 / $1,223.31	Professional		$193.45	$193.45	$1,223.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $230.35 / $3,479.91	Facility		$230.35	$230.35	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $516.00 / $1,972.11	Professional		$145.09	$516.00	$1,972.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $225.85 / $346.00	Facility		$149.44	$225.85	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $1,001.10 / $1,475.27	Professional		$765.41	$1,001.10	$1,475.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.85 / $679.85 / $679.85	Facility		$679.85	$679.85	$679.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $929.54 / $1,398.82	Professional		$653.85	$929.54	$1,398.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.55 / $1,212.30 / $2,297.69	Facility		$756.55	$1,212.30	$2,297.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $138.11 / $168.80	Professional		$138.11	$138.11	$168.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $555.00 / $3,479.91	Facility		$230.35	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.02 / $973.39 / $2,170.28	Professional		$165.02	$973.39	$2,170.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,673.00 / $3,439.00 / $7,203.00	Facility		$1,673.00	$3,439.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.84 / $1,009.30 / $2,197.21	Professional		$713.84	$1,009.30	$2,197.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $160.13 / $590.33	Facility		$160.13	$160.13	$590.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $423.11 / $929.54 / $1,431.18	Professional		$423.11	$929.54	$1,431.18