Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,630.78 / $10,715.19	Facility		$851.14	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,698.24	Professional		$549.54	$741.31	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,905.46	Professional		$602.56	$741.31	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,398.83 / $10,964.78	Facility		$794.33	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $50,118.72	Facility		$912.01	$912.01	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $2,398.83	Professional		$562.34	$977.24	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $1,995.26	Facility		$549.54	$707.95	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,479.11	Professional		$758.58	$1,071.52	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,348.96	Professional		$588.84	$851.14	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $1,737.80	Professional		$398.11	$891.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,905.46	Professional		$489.78	$741.31	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $2,089.30	Facility		$446.68	$660.69	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,513.56	Professional		$588.84	$812.83	$1,513.56