Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,019.95 / $10,000.00	Facility		$457.09	$3,019.95	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,148.15	Professional		$275.42	$478.63	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,258.93	Professional		$389.05	$489.78	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,995.26 / $8,912.51	Facility		$467.74	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Professional		$467.74	$467.74	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,862.09 / $50,118.72	Facility		$562.34	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,318.26	Professional		$346.74	$602.56	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $1,071.52	Facility		$323.59	$416.87	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,412.54	Professional		$575.44	$691.83	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $912.01	Professional		$389.05	$537.03	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $5,623.41	Facility		$1,258.93	$1,819.70	$5,623.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $912.01	Professional		$457.09	$602.56	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $50,118.72 / $75,857.76	Facility		$426.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $741.31	Professional		$398.11	$602.56	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $933.25	Professional		$229.09	$436.52	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $1,479.11	Facility		$269.15	$354.81	$1,479.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,230.27	Professional		$389.05	$575.44	$1,230.27