Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.44 / $3,060.00 / $8,134.00	Facility		$567.44	$3,060.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $575.71 / $1,318.87	Professional		$438.50	$575.71	$1,318.87
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 $443.39 / $550.62 / $1,329.77	Professional		$443.39	$550.62	$1,329.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $699.05 / $1,716.00 / $6,213.00	Facility		$699.05	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $699.05 / $699.05 / $890.50	Professional		$699.05	$699.05	$890.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.83 / $850.83 / $850.83	Facility		$850.83	$850.83	$850.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $740.26 / $1,675.05	Professional		$377.38	$740.26	$1,675.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $543.21 / $1,338.39	Facility		$294.00	$543.21	$1,338.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $752.58 / $872.30 / $2,078.83	Professional		$752.58	$872.30	$2,078.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.15 / $683.71 / $1,176.79	Professional		$510.15	$683.71	$1,176.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,245.08 / $3,245.08 / $3,245.08	Facility		$3,245.08	$3,245.08	$3,245.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.86 / $683.86 / $683.86	Professional		$683.86	$683.86	$683.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $850.83 / $74,999.25	Facility		$555.00	$850.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $806.27 / $1,845.96	Professional		$406.65	$806.27	$1,845.96
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 $401.84 / $713.87 / $1,520.24	Professional		$401.84	$713.87	$1,520.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $541.30 / $541.30 / $1,627.44	Facility		$541.30	$541.30	$1,627.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.15 / $683.71 / $1,500.56	Professional		$510.15	$683.71	$1,500.56