Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.83 / $3,414.00 / $9,969.75	Facility		$248.83	$3,414.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.79 / $339.98 / $674.01	Professional		$186.79	$339.98	$674.01
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 $302.10 / $394.41 / $835.78	Professional		$302.10	$394.41	$835.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $261.01 / $8,917.50	Facility		$261.01	$261.01	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $261.01 / $261.01 / $505.95	Professional		$261.01	$261.01	$505.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.44 / $313.44 / $4,612.43	Facility		$313.44	$313.44	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $443.82 / $1,036.88	Professional		$204.53	$443.82	$1,036.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $211.85 / $332.00 / $614.40	Facility		$211.85	$332.00	$614.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $462.54 / $692.21	Professional		$359.75	$462.54	$692.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.19 / $398.88 / $638.60	Professional		$284.19	$398.88	$638.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.33 / $853.94 / $7,315.57	Facility		$603.33	$853.94	$7,315.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.15 / $847.15 / $847.15	Professional		$847.15	$847.15	$847.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.44 / $597.00 / $8,498.00	Facility		$313.44	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $238.71 / $503.97 / $1,133.10	Professional		$238.71	$503.97	$1,133.10
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 $338.92 / $468.84 / $892.10	Professional		$338.92	$468.84	$892.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.19 / $208.19 / $682.31	Facility		$208.19	$208.19	$682.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $414.69 / $701.41	Professional		$241.56	$414.69	$701.41