Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.81 / $3,205.00 / $8,442.00	Facility		$701.81	$3,205.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.31 / $607.38 / $1,288.94	Professional		$494.31	$607.38	$1,288.94
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 $528.96 / $656.88 / $1,399.87	Professional		$528.96	$656.88	$1,399.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $837.45 / $1,716.00 / $6,213.00	Facility		$837.45	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $837.45 / $837.45 / $1,025.56	Professional		$837.45	$837.45	$1,025.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.45 / $1,005.45 / $1,005.45	Facility		$1,005.45	$1,005.45	$1,005.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.88 / $840.26 / $1,880.03	Professional		$448.88	$840.26	$1,880.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $641.98 / $1,582.56	Facility		$332.00	$641.98	$1,582.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $845.49 / $980.01 / $2,076.69	Professional		$845.49	$980.01	$2,076.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $668.55 / $1,325.87	Professional		$557.19	$668.55	$1,325.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,545.78 / $4,545.78 / $4,545.78	Facility		$4,545.78	$4,545.78	$4,545.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,005.45 / $74,999.25	Facility		$555.00	$1,005.45	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $519.50 / $898.81 / $2,002.94	Professional		$519.50	$898.81	$2,002.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.06 / $798.73 / $1,837.80	Professional		$459.06	$798.73	$1,837.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $639.62 / $639.62 / $1,941.84	Facility		$639.62	$639.62	$1,941.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $770.32 / $1,689.97	Professional		$557.19	$770.32	$1,689.97