Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.96 / $3,621.00 / $10,686.00	Facility		$967.96	$3,621.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $938.19 / $2,281.03	Professional		$742.35	$938.19	$2,281.03
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 $773.64 / $938.49 / $2,046.48	Professional		$773.64	$938.49	$2,046.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,171.71 / $1,716.00 / $6,213.00	Facility		$1,171.71	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,171.71 / $1,171.71 / $1,413.30	Professional		$1,171.71	$1,171.71	$1,413.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,422.45 / $1,422.45 / $1,422.45	Facility		$1,422.45	$1,422.45	$1,422.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.25 / $1,220.86 / $2,831.70	Professional		$628.25	$1,220.86	$2,831.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $899.94 / $2,209.64	Facility		$332.00	$899.94	$2,209.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.57 / $1,384.62 / $2,924.23	Professional		$1,194.57	$1,384.62	$2,924.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.88 / $949.35 / $1,875.27	Professional		$769.88	$949.35	$1,875.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,205.32 / $7,205.32 / $7,205.32	Facility		$7,205.32	$7,205.32	$7,205.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,422.45 / $74,999.25	Facility		$555.00	$1,422.45	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $751.23 / $1,277.68 / $3,111.15	Professional		$751.23	$1,277.68	$3,111.15
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 $619.73 / $1,181.25 / $2,561.14	Professional		$619.73	$1,181.25	$2,561.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $903.91 / $903.91 / $2,627.17	Facility		$903.91	$903.91	$2,627.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $769.88 / $1,002.81 / $2,398.80	Professional		$769.88	$1,002.81	$2,398.80