Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,951.21 / $7,762.47	Facility		$870.96	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $2,187.76	Professional		$588.84	$812.83	$2,187.76
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 $707.95 / $891.25 / $2,089.30	Professional		$707.95	$891.25	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $6,165.95	Facility		$1,000.00	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,230.27	Professional		$1,000.00	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $50,118.72	Facility		$1,202.26	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $2,454.71	Professional		$549.54	$1,047.13	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $2,454.71	Facility		$588.84	$812.83	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,137.96	Professional		$1,096.48	$1,288.25	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,584.89	Professional		$691.83	$933.25	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $4,570.88	Facility		$1,819.70	$2,344.23	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $50,118.72 / $75,857.76	Facility		$741.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,318.26	Professional		$398.11	$1,023.29	$1,318.26
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 $478.63 / $831.76 / $1,819.70	Professional		$478.63	$831.76	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $2,454.71	Facility		$562.34	$758.58	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,137.96	Professional		$691.83	$1,000.00	$2,137.96