Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.69 / $2,842.00 / $9,038.00	Facility		$415.69	$2,842.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $365.13 / $836.86	Professional		$289.88	$365.13	$836.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $290.69 / $740.61	Professional		$225.57	$290.69	$740.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $458.65 / $1,254.00 / $4,050.00	Facility		$458.65	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $458.65 / $458.65 / $458.65	Professional		$458.65	$458.65	$458.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $369.75 / $369.75	Facility		$369.75	$369.75	$369.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $503.72 / $1,303.64	Professional		$303.11	$503.72	$1,303.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $567.35 / $1,126.40	Facility		$332.00	$567.35	$1,126.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $497.41 / $729.98	Professional		$359.75	$497.41	$729.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.93 / $308.93 / $308.93	Facility		$308.93	$308.93	$308.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.61 / $382.21 / $694.22	Professional		$267.61	$382.21	$694.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $467.50 / $472.64	Professional		$444.33	$467.50	$472.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $555.00 / $597.00	Facility		$369.75	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $328.59 / $501.01 / $1,285.15	Professional		$328.59	$501.01	$1,285.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.61 / $436.83 / $995.60	Professional		$289.61	$436.83	$995.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $382.21 / $382.21 / $1,494.30	Facility		$382.21	$382.21	$1,494.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $423.61 / $831.88	Professional		$279.72	$423.61	$831.88