Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,298.00 / $10,170.00	Facility		$1,819.00	$5,298.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.87 / $737.59 / $922.10	Professional		$535.87	$737.59	$922.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.67 / $803.26 / $1,502.20	Professional		$672.67	$803.26	$1,502.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,031.58 / $1,031.58 / $16,534.50	Facility		$1,031.58	$1,031.58	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,031.58 / $1,031.58	Professional		$1,031.58	$1,031.58	$1,031.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.62 / $893.62 / $5,411.56	Facility		$893.62	$893.62	$5,411.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.65 / $3,720.03 / $3,720.03	Professional		$746.65	$3,720.03	$3,720.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $1,010.13 / $1,900.62	Facility		$294.00	$1,010.13	$1,900.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $928.04 / $1,078.94 / $1,720.42	Professional		$928.04	$1,078.94	$1,720.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.87 / $1,114.06 / $1,729.96	Professional		$666.87	$1,114.06	$1,729.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.09 / $805.09 / $805.09	Professional		$805.09	$805.09	$805.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $893.62 / $74,999.25	Facility		$555.00	$893.62	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $746.65 / $3,720.03 / $3,720.03	Professional		$746.65	$3,720.03	$3,720.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.41 / $835.24 / $1,738.79	Professional		$634.41	$835.24	$1,738.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $755.06 / $1,114.89 / $1,114.89	Facility		$755.06	$1,114.89	$1,114.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $666.87 / $1,114.89 / $2,073.02	Professional		$666.87	$1,114.89	$2,073.02