Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.09 / $5,229.35 / $10,475.15	Facility		$622.09	$5,229.35	$10,475.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.21 / $534.59 / $2,025.00	Professional		$425.21	$534.59	$2,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.58 / $454.36 / $1,083.10	Professional		$347.58	$454.36	$1,083.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $662.25 / $2,390.00 / $10,957.50	Facility		$662.25	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $662.25 / $662.25 / $662.25	Professional		$662.25	$662.25	$662.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $535.01 / $535.01	Facility		$535.01	$535.01	$535.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.23 / $723.44 / $1,797.92	Professional		$475.23	$723.44	$1,797.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $496.00 / $1,272.29	Facility		$281.00	$496.00	$1,272.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.49 / $736.43 / $1,091.33	Professional		$513.49	$736.43	$1,091.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.95 / $440.95 / $440.95	Facility		$440.95	$440.95	$440.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.49 / $595.28 / $991.54	Professional		$416.49	$595.28	$991.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,589.56 / $2,724.87 / $4,699.37	Facility		$1,589.56	$2,724.87	$4,699.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.90 / $1,120.90 / $1,120.90	Professional		$1,120.90	$1,120.90	$1,120.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $555.00 / $597.00	Facility		$535.01	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $709.94 / $1,656.83	Professional		$467.25	$709.94	$1,656.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $597.97 / $1,463.60	Professional		$418.32	$597.97	$1,463.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.09 / $562.09 / $1,273.15	Facility		$562.09	$562.09	$1,273.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.49 / $614.51 / $1,188.17	Professional		$416.49	$614.51	$1,188.17