Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.22 / $3,990.61 / $10,081.00	Facility		$847.22	$3,990.61	$10,081.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.09 / $879.78 / $1,907.51	Professional		$676.09	$879.78	$1,907.51
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 $710.79 / $856.21 / $2,033.34	Professional		$710.79	$856.21	$2,033.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,064.93 / $1,990.00 / $8,917.50	Facility		$1,064.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,064.93 / $1,064.93 / $1,296.98	Professional		$1,064.93	$1,064.93	$1,296.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.83 / $1,285.83 / $1,285.83	Facility		$1,285.83	$1,285.83	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $1,108.96 / $2,559.75	Professional		$561.88	$1,108.96	$2,559.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $811.08 / $1,977.41	Facility		$332.00	$811.08	$1,977.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.80 / $1,258.54 / $2,642.46	Professional		$1,085.80	$1,258.54	$2,642.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.77 / $995.21 / $1,712.94	Professional		$767.77	$995.21	$1,712.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,002.54 / $6,002.54 / $6,975.78	Facility		$6,002.54	$6,002.54	$6,975.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.29 / $1,097.44 / $1,238.90	Professional		$867.29	$1,097.44	$1,238.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,285.83 / $74,999.25	Facility		$555.00	$1,285.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $678.95 / $1,179.68 / $3,007.25	Professional		$678.95	$1,179.68	$3,007.25
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 $619.91 / $1,040.75 / $2,294.75	Professional		$619.91	$1,040.75	$2,294.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $818.81 / $818.81 / $2,870.90	Facility		$818.81	$818.81	$2,870.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $813.04 / $995.21 / $2,411.89	Professional		$813.04	$995.21	$2,411.89