Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $2,884.50 / $8,020.00	Facility		$315.85	$2,884.50	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.93 / $383.24 / $834.61	Professional		$232.93	$383.24	$834.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $379.69 / $1,030.10	Professional		$290.45	$379.69	$1,030.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $435.69 / $569.53 / $1,545.16	Professional	50	$435.69	$569.53	$1,545.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $359.83 / $1,716.00 / $6,213.00	Facility		$359.83	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $359.83 / $359.83 / $587.57	Professional		$359.83	$359.83	$587.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.65 / $425.65 / $4,612.43	Facility		$425.65	$425.65	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $554.41 / $1,293.61	Professional		$266.01	$554.41	$1,293.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $394.00 / $671.38	Facility		$250.00	$394.00	$671.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $469.57 / $544.19 / $814.40	Professional		$469.57	$544.19	$814.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $437.55 / $752.01	Professional		$283.58	$437.55	$752.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.53 / $1,534.53 / $1,534.53	Facility		$1,534.53	$1,534.53	$1,534.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $425.65 / $555.00 / $4,612.43	Facility		$425.65	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $566.16 / $1,369.08	Professional		$305.95	$566.16	$1,369.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $488.08 / $1,222.30	Professional		$234.44	$488.08	$1,222.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $276.06 / $276.06 / $782.46	Facility		$276.06	$276.06	$782.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $469.77 / $825.97	Professional		$283.58	$469.77	$825.97