Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.46 / $3,659.00 / $9,969.75	Facility		$643.46	$3,659.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $573.30 / $2,234.00	Professional		$484.18	$573.30	$2,234.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $486.69 / $1,202.08	Professional		$372.31	$486.69	$1,202.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $735.33 / $735.33 / $16,534.50	Facility		$735.33	$735.33	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $735.33 / $735.33 / $735.33	Professional		$735.33	$735.33	$735.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $818.49 / $1,938.48	Professional		$522.77	$818.49	$1,938.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $283.00 / $550.40 / $1,387.06	Facility		$283.00	$550.40	$1,387.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $570.76 / $806.29 / $1,189.79	Professional		$570.76	$806.29	$1,189.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.13 / $490.13 / $490.13	Facility		$490.13	$490.13	$490.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.71 / $532.14 / $1,104.36	Professional		$425.71	$532.14	$1,104.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,772.02 / $4,819.76 / $5,694.16	Facility		$3,772.02	$4,819.76	$5,694.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $591.09 / $597.00	Facility		$555.00	$591.09	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $539.09 / $780.48 / $1,802.50	Professional		$539.09	$780.48	$1,802.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $669.14 / $1,664.79	Professional		$463.25	$669.14	$1,664.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $626.04 / $626.04 / $1,415.15	Facility		$626.04	$626.04	$1,415.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $683.04 / $1,323.37	Professional		$463.17	$683.04	$1,323.37