Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.74 / $3,419.00 / $8,976.50	Facility		$380.74	$3,419.00	$8,976.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $452.61 / $980.56	Professional		$261.62	$452.61	$980.56
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 $295.70 / $386.56 / $979.76	Professional		$295.70	$386.56	$979.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $321.61 / $1,716.00 / $6,213.00	Facility		$321.61	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $321.61 / $501.13	Professional		$321.61	$321.61	$501.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.39 / $390.39 / $4,612.43	Facility		$390.39	$390.39	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $527.05 / $1,266.95	Professional		$250.16	$527.05	$1,266.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.64 / $304.25 / $598.07	Facility		$245.64	$304.25	$598.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $438.75 / $672.77	Professional		$188.75	$438.75	$672.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.24 / $425.77 / $612.60	Professional		$295.24	$425.77	$612.60
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $249.92 / $249.92	Professional		$249.92	$249.92	$249.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.25 / $2,180.40 / $5,243.76	Facility		$438.25	$2,180.40	$5,243.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $390.39 / $555.00 / $4,612.43	Facility		$390.39	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $546.62 / $1,295.39	Professional		$283.39	$546.62	$1,295.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,097.02 / $7,939.00	Facility		$2,264.00	$4,097.02	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $439.08 / $1,006.03	Professional		$288.23	$439.08	$1,006.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $308.23 / $308.23 / $749.53	Facility		$308.23	$308.23	$749.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.23 / $446.99 / $677.49	Professional		$308.23	$446.99	$677.49