Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.96 / $3,419.00 / $9,661.00	Facility		$906.96	$3,419.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.51 / $855.64 / $1,770.90	Professional		$697.51	$855.64	$1,770.90
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 $711.00 / $886.60 / $2,029.05	Professional		$711.00	$886.60	$2,029.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,110.72 / $1,990.00 / $8,917.50	Facility		$1,110.72	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,110.72 / $1,110.72 / $1,309.82	Professional		$1,110.72	$1,110.72	$1,309.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.65 / $1,336.65 / $1,336.65	Facility		$1,336.65	$1,336.65	$1,336.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $1,126.86 / $2,678.04	Professional		$583.04	$1,126.86	$2,678.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $849.06 / $2,074.59	Facility		$332.00	$849.06	$2,074.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.58 / $1,264.08 / $2,659.03	Professional		$1,090.58	$1,264.08	$2,659.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.14 / $868.94 / $1,721.76	Professional		$712.14	$868.94	$1,721.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $6,967.00 / $9,300.39	Facility		$1,740.63	$6,967.00	$9,300.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,104.61 / $1,104.61	Professional		$1,027.55	$1,104.61	$1,104.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,336.65 / $74,999.25	Facility		$555.00	$1,336.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $650.98 / $1,172.07 / $2,850.98	Professional		$650.98	$1,172.07	$2,850.98
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 $592.99 / $1,099.25 / $2,377.73	Professional		$592.99	$1,099.25	$2,377.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $855.46 / $855.46 / $2,441.75	Facility		$855.46	$855.46	$2,441.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $712.14 / $920.72 / $2,214.69	Professional		$712.14	$920.72	$2,214.69