Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,228.00 / $10,577.10	Facility		$1,516.00	$5,228.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $691.57 / $1,480.67	Professional		$206.00	$691.57	$1,480.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $2,972.50 / $8,917.50	Facility		$1,890.00	$2,972.50	$8,917.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $3,468.63 / $3,962.30	Professional		$231.75	$3,468.63	$3,962.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $778.50	Facility		$450.00	$450.00	$778.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $232.65 / $258.50	Professional		$219.73	$232.65	$258.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,740.43 / $3,740.43 / $4,887.79	Facility		$3,740.43	$3,740.43	$4,887.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $3,468.63 / $3,962.30	Professional		$480.00	$3,468.63	$3,962.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.50 / $258.50 / $492.80	Facility		$258.50	$258.50	$492.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $258.50 / $425.94	Professional		$258.50	$258.50	$425.94