Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,090.30 / $7,762.47	Facility		$1,023.29	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,995.26	Professional		$676.08	$812.83	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,862.09	Professional		$676.08	$831.76	$1,862.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $6,165.95	Facility		$1,071.52	$1,071.52	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $50,118.72	Facility		$34.67	$1,288.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $3,388.44	Professional		$741.31	$1,096.48	$3,388.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $2,511.89	Facility		$691.83	$870.96	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,513.56	Professional		$758.58	$1,023.29	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,584.89	Professional		$630.96	$977.24	$1,584.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $50,118.72 / $75,857.76	Facility		$851.14	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,949.84	Professional		$812.83	$1,023.29	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $2,137.96	Professional		$616.60	$870.96	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,258.93	Facility		$602.56	$1,071.52	$1,258.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,737.80	Professional		$602.56	$977.24	$1,737.80