Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.79 / $2,862.44 / $8,020.00	Facility		$248.79	$2,862.44	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $627.04 / $1,382.23	Professional		$200.21	$627.04	$1,382.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.49 / $719.06 / $1,715.52	Professional		$554.49	$719.06	$1,715.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.07 / $1,716.00 / $6,213.00	Facility		$248.07	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $248.07 / $248.07 / $1,100.79	Professional		$248.07	$248.07	$1,100.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $297.97 / $4,612.43	Facility		$297.97	$297.97	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $681.39 / $2,276.82	Professional		$206.26	$681.39	$2,276.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $282.00 / $484.40	Facility		$196.45	$282.00	$484.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $803.32 / $948.07 / $1,418.83	Professional		$803.32	$948.07	$1,418.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.53 / $1,026.03 / $1,337.51	Professional		$601.53	$1,026.03	$1,337.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,493.49 / $2,666.88 / $10,196.70	Facility		$1,493.49	$2,666.88	$10,196.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $597.00 / $8,498.00	Facility		$297.97	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $843.61 / $2,386.02	Professional		$246.01	$843.61	$2,386.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.71 / $959.35 / $2,037.06	Professional		$596.71	$959.35	$2,037.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.55 / $223.55 / $687.74	Facility		$223.55	$223.55	$687.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $574.46 / $1,026.03 / $1,385.25	Professional		$574.46	$1,026.03	$1,385.25