Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.63 / $4,156.07 / $11,396.00	Facility		$285.63	$4,156.07	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $688.86 / $1,917.70	Professional		$163.13	$688.86	$1,917.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.25 / $852.32 / $2,350.11	Professional		$669.25	$852.32	$2,350.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $256.27 / $1,716.00 / $8,917.50	Facility		$256.27	$1,716.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $256.27 / $1,244.13	Professional		$256.27	$256.27	$1,244.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $304.00 / $5,246.94	Facility		$304.00	$304.00	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $724.68 / $2,993.08	Professional		$209.35	$724.68	$2,993.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.42 / $277.20 / $456.72	Facility		$197.42	$277.20	$456.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $761.43 / $1,032.16 / $2,089.69	Professional		$761.43	$1,032.16	$2,089.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.58 / $883.12 / $1,389.48	Professional		$631.58	$883.12	$1,389.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,451.78 / $5,093.00 / $6,620.58	Facility		$4,451.78	$5,093.00	$6,620.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $555.00 / $5,246.94	Facility		$304.00	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $1,038.27 / $2,994.26	Professional		$251.30	$1,038.27	$2,994.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $1,108.07 / $2,541.52	Professional		$626.72	$1,108.07	$2,541.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.58 / $190.58 / $339.54	Facility		$190.58	$190.58	$339.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $561.37 / $932.98 / $1,510.32	Professional		$561.37	$932.98	$1,510.32