Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.89 / $3,731.00 / $10,577.10	Facility		$602.89	$3,731.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.56 / $646.97 / $1,485.80	Professional		$494.56	$646.97	$1,485.80
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 $536.69 / $645.75 / $1,485.45	Professional		$536.69	$645.75	$1,485.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $787.03 / $1,990.00 / $8,917.50	Facility		$787.03	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $787.03 / $787.03 / $984.22	Professional		$787.03	$787.03	$984.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.38 / $953.38 / $953.38	Facility		$953.38	$953.38	$953.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.21 / $829.01 / $1,897.23	Professional		$419.21	$829.01	$1,897.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $607.11 / $1,485.41	Facility		$332.00	$607.11	$1,485.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.77 / $960.63 / $2,276.65	Professional		$828.77	$960.63	$2,276.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.24 / $757.61 / $1,303.99	Professional		$568.24	$757.61	$1,303.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,339.54 / $2,339.54 / $2,339.54	Facility		$2,339.54	$2,339.54	$2,339.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.23 / $765.23 / $769.44	Professional		$765.23	$765.23	$769.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $953.38 / $74,999.25	Facility		$555.00	$953.38	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $874.45 / $1,989.25	Professional		$455.00	$874.45	$1,989.25
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 $428.74 / $778.73 / $1,764.90	Professional		$428.74	$778.73	$1,764.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $609.54 / $609.54 / $1,874.33	Facility		$609.54	$609.54	$1,874.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $568.24 / $757.61 / $1,719.90	Professional		$568.24	$757.61	$1,719.90