Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.10 / $3,579.00 / $9,887.53	Facility		$814.10	$3,579.00	$9,887.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $809.37 / $1,780.02	Professional		$631.54	$809.37	$1,780.02
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 $670.48 / $813.47 / $1,891.81	Professional		$670.48	$813.47	$1,891.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $988.43 / $1,990.00 / $8,917.50	Facility		$988.43	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $988.43 / $988.43 / $1,215.22	Professional		$988.43	$988.43	$1,215.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,195.28 / $1,195.28 / $1,195.28	Facility		$1,195.28	$1,195.28	$1,195.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.08 / $1,031.28 / $2,407.71	Professional		$525.08	$1,031.28	$2,407.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $756.81 / $1,851.37	Facility		$332.00	$756.81	$1,851.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.57 / $1,185.26 / $2,495.46	Professional		$1,022.57	$1,185.26	$2,495.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.82 / $933.78 / $1,607.21	Professional		$709.82	$933.78	$1,607.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.72 / $3,235.72 / $4,130.34	Facility		$3,235.72	$3,235.72	$4,130.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.05 / $954.77 / $1,154.84	Professional		$814.05	$954.77	$1,154.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,195.28 / $74,999.25	Facility		$555.00	$1,195.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.02 / $1,090.30 / $2,655.73	Professional		$640.02	$1,090.30	$2,655.73
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 $577.78 / $1,001.89 / $2,175.84	Professional		$577.78	$1,001.89	$2,175.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $760.92 / $760.92 / $2,620.03	Facility		$760.92	$760.92	$2,620.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $933.78 / $2,241.37	Professional		$742.42	$933.78	$2,241.37