Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.84 / $3,756.00 / $11,326.97	Facility		$1,009.84	$3,756.00	$11,326.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.70 / $913.50 / $1,950.78	Professional		$745.70	$913.50	$1,950.78
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 $751.89 / $939.04 / $2,194.00	Professional		$751.89	$939.04	$2,194.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,181.04 / $1,716.00 / $6,213.00	Facility		$1,181.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,181.04 / $1,181.04 / $1,404.97	Professional		$1,181.04	$1,181.04	$1,404.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.37 / $1,423.37 / $1,423.37	Facility		$1,423.37	$1,423.37	$1,423.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.02 / $1,200.07 / $2,829.61	Professional		$619.02	$1,200.07	$2,829.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $899.82 / $2,191.10	Facility		$332.00	$899.82	$2,191.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.79 / $1,359.37 / $3,190.21	Professional		$1,172.79	$1,359.37	$3,190.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.14 / $1,077.10 / $1,853.91	Professional		$758.14	$1,077.10	$1,853.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.16 / $3,024.26 / $5,904.46	Facility		$1,832.16	$3,024.26	$5,904.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.94 / $1,211.02 / $1,637.52	Professional		$1,002.94	$1,211.02	$1,637.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,423.37 / $74,999.25	Facility		$555.00	$1,423.37	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $1,260.42 / $3,071.90	Professional		$733.34	$1,260.42	$3,071.90
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 $616.23 / $1,124.98 / $2,478.69	Professional		$616.23	$1,124.98	$2,478.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $908.86 / $908.86 / $2,647.92	Facility		$908.86	$908.86	$2,647.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.14 / $1,077.10 / $2,406.83	Professional		$758.14	$1,077.10	$2,406.83