Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.66 / $4,059.60 / $9,868.00	Facility		$995.66	$4,059.60	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.48 / $748.06 / $2,165.26	Professional		$671.48	$748.06	$2,165.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.72 / $734.28 / $1,746.75	Professional		$561.72	$734.28	$1,746.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,123.31 / $1,716.00 / $6,213.00	Facility		$1,123.31	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,123.31 / $1,123.31 / $1,123.31	Professional		$1,123.31	$1,123.31	$1,123.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.04 / $899.04 / $899.04	Facility		$899.04	$899.04	$899.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.82 / $1,077.53 / $2,804.65	Professional		$638.82	$1,077.53	$2,804.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $560.00 / $2,094.84	Facility		$280.00	$560.00	$2,094.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $935.43 / $1,084.25 / $2,299.67	Professional		$935.43	$1,084.25	$2,299.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.11 / $1,021.29 / $1,678.41	Professional		$640.11	$1,021.29	$1,678.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,405.35 / $3,664.31 / $6,655.56	Facility		$2,405.35	$3,664.31	$6,655.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $899.04 / $74,999.25	Facility		$555.00	$899.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $638.82 / $1,095.30 / $2,709.09	Professional		$638.82	$1,095.30	$2,709.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $931.04 / $1,948.77	Professional		$524.50	$931.04	$1,948.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $852.39 / $852.39 / $2,603.77	Facility		$852.39	$852.39	$2,603.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $640.11 / $1,021.29 / $2,338.82	Professional		$640.11	$1,021.29	$2,338.82