Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.75 / $3,414.00 / $8,521.00	Facility		$758.75	$3,414.00	$8,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.84 / $750.33 / $1,655.51	Professional		$586.84	$750.33	$1,655.51
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 $614.37 / $766.39 / $1,812.24	Professional		$614.37	$766.39	$1,812.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $940.48 / $1,990.00 / $8,917.50	Facility		$940.48	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $940.48 / $940.48 / $1,183.98	Professional		$940.48	$940.48	$1,183.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.14 / $1,134.14 / $1,134.14	Facility		$1,134.14	$1,134.14	$1,134.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $979.15 / $2,352.30	Professional		$506.28	$979.15	$2,352.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $560.00 / $1,771.76	Facility		$332.00	$560.00	$1,771.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $986.44 / $1,143.36 / $2,419.59	Professional		$986.44	$1,143.36	$2,419.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.79 / $781.55 / $1,550.70	Professional		$628.79	$781.55	$1,550.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,483.50 / $3,483.50 / $3,483.50	Facility		$3,483.50	$3,483.50	$3,483.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,134.14 / $74,999.25	Facility		$555.00	$1,134.14	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $559.19 / $1,056.98 / $2,406.28	Professional		$559.19	$1,056.98	$2,406.28
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 $541.70 / $979.59 / $1,930.81	Professional		$541.70	$979.59	$1,930.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $721.36 / $721.36 / $2,071.17	Facility		$721.36	$721.36	$2,071.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $628.79 / $900.95 / $1,976.54	Professional		$628.79	$900.95	$1,976.54