Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.38 / $3,659.00 / $9,648.00	Facility		$787.38	$3,659.00	$9,648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $718.48 / $1,652.17	Professional		$581.83	$718.48	$1,652.17
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 $598.67 / $733.63 / $1,620.05	Professional		$598.67	$733.63	$1,620.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $922.02 / $1,990.00 / $8,917.50	Facility		$922.02	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $922.02 / $922.02 / $1,120.16	Professional		$922.02	$922.02	$1,120.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.68 / $1,095.68 / $1,095.68	Facility		$1,095.68	$1,095.68	$1,095.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.26 / $949.98 / $2,148.56	Professional		$479.26	$949.98	$2,148.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $690.15 / $1,681.85	Facility		$332.00	$690.15	$1,681.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $917.36 / $1,063.30 / $2,231.71	Professional		$917.36	$1,063.30	$2,231.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.29 / $733.37 / $1,446.82	Professional		$635.29	$733.37	$1,446.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,256.89 / $4,256.89 / $4,256.89	Facility		$4,256.89	$4,256.89	$4,256.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.04 / $842.04 / $842.04	Professional		$842.04	$842.04	$842.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,095.68 / $74,999.25	Facility		$555.00	$1,095.68	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $1,007.43 / $2,310.69	Professional		$482.82	$1,007.43	$2,310.69
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 $536.39 / $943.54 / $1,997.51	Professional		$536.39	$943.54	$1,997.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $696.42 / $696.42 / $2,077.71	Facility		$696.42	$696.42	$2,077.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $635.29 / $773.69 / $1,941.63	Professional		$635.29	$773.69	$1,941.63