Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,801.89 / $10,000.00	Facility		$977.24	$3,801.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $2,454.71	Professional		$630.96	$891.25	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,995.26	Professional		$676.08	$851.14	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $8,912.51	Facility		$977.24	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,202.26	Professional		$977.24	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $50,118.72	Facility		$1,202.26	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $2,398.83	Professional		$549.54	$1,047.13	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $2,398.83	Facility		$602.56	$776.25	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,995.26	Professional		$1,047.13	$1,230.27	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Professional		$707.95	$977.24	$1,621.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,148.15	Professional		$812.83	$1,023.29	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,288.25	Professional		$398.11	$1,023.29	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,778.28	Professional		$467.74	$812.83	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $2,511.89	Facility		$575.44	$758.58	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,238.72	Professional		$707.95	$1,023.29	$2,238.72