Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.47 / $5,157.00 / $11,396.00	Facility		$877.47	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.40 / $720.22 / $1,563.75	Professional		$614.40	$720.22	$1,563.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.01 / $746.43 / $1,666.79	Professional		$571.01	$746.43	$1,666.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $975.04 / $975.04 / $12,319.50	Facility		$975.04	$975.04	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $975.04 / $975.04 / $975.04	Professional		$975.04	$975.04	$975.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $783.40 / $783.40	Facility		$783.40	$783.40	$783.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.98 / $1,032.39 / $2,505.61	Professional		$691.98	$1,032.39	$2,505.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $977.00 / $1,835.82	Facility		$332.00	$977.00	$1,835.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.90 / $1,067.54 / $1,574.73	Professional		$756.90	$1,067.54	$1,574.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.98 / $649.98 / $649.98	Facility		$649.98	$649.98	$649.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $827.73 / $1,460.13	Professional		$556.14	$827.73	$1,460.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,812.82 / $4,812.82 / $10,910.95	Facility		$4,812.82	$4,812.82	$10,910.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $783.40	Facility		$555.00	$597.00	$783.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $698.99 / $1,015.31 / $2,333.55	Professional		$698.99	$1,015.31	$2,333.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.29 / $820.57 / $2,051.67	Professional		$582.29	$820.57	$2,051.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $827.73 / $827.73 / $3,039.47	Facility		$827.73	$827.73	$3,039.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.85 / $905.81 / $1,749.68	Professional		$562.85	$905.81	$1,749.68