Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.36 / $3,599.00 / $9,038.00	Facility		$739.36	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $731.24 / $1,651.72	Professional		$568.95	$731.24	$1,651.72
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 $621.48 / $760.14 / $1,663.83	Professional		$621.48	$760.14	$1,663.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $909.40 / $1,990.00 / $8,917.50	Facility		$909.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $909.40 / $909.40 / $1,134.28	Professional		$909.40	$909.40	$1,134.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.35 / $1,102.35 / $1,102.35	Facility		$1,102.35	$1,102.35	$1,102.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.57 / $951.33 / $2,200.32	Professional		$492.57	$951.33	$2,200.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $651.00 / $1,730.12	Facility		$332.00	$651.00	$1,730.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $1,110.08 / $2,354.67	Professional		$957.73	$1,110.08	$2,354.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.86 / $870.49 / $1,498.27	Professional		$659.86	$870.49	$1,498.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $772.45 / $884.85	Professional		$772.45	$772.45	$884.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,102.35 / $74,999.25	Facility		$555.00	$1,102.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $1,032.33 / $2,354.01	Professional		$576.00	$1,032.33	$2,354.01
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 $536.02 / $946.40 / $2,322.01	Professional		$536.02	$946.40	$2,322.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $699.75 / $699.75 / $2,233.76	Facility		$699.75	$699.75	$2,233.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $661.38 / $870.49 / $2,026.67	Professional		$661.38	$870.49	$2,026.67