Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $9,120.11	Facility		$954.99	$3,162.28	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $2,511.89	Professional		$676.08	$933.25	$2,511.89
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 $724.44 / $933.25 / $2,137.96	Professional		$724.44	$933.25	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,912.51	Facility		$1,122.02	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Professional		$1,122.02	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $50,118.72	Facility		$1,348.96	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,630.27	Professional		$588.84	$1,122.02	$2,630.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $2,398.83	Facility		$588.84	$870.96	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,137.96	Professional		$1,096.48	$1,318.26	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,737.80	Professional		$707.95	$1,096.48	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $9,332.54	Facility		$1,513.56	$2,630.27	$9,332.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,096.48	Professional		$1,023.29	$1,096.48	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $50,118.72 / $75,857.76	Facility		$794.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,380.38	Professional		$398.11	$1,096.48	$1,380.38
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 $501.19 / $912.01 / $1,949.84	Professional		$501.19	$912.01	$1,949.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $2,454.71	Facility		$616.60	$851.14	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,398.83	Professional		$707.95	$1,122.02	$2,398.83