Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.18 / $5,097.25 / $10,296.00	Facility		$930.18	$5,097.25	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.35 / $799.77 / $2,622.55	Professional		$670.35	$799.77	$2,622.55
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 $547.05 / $715.12 / $1,693.47	Professional		$547.05	$715.12	$1,693.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,040.68 / $2,644.00 / $12,319.50	Facility		$1,040.68	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,040.68 / $1,040.68 / $1,040.68	Professional		$1,040.68	$1,040.68	$1,040.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.96 / $1,134.57 / $2,828.77	Professional		$747.96	$1,134.57	$2,828.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $753.00 / $1,984.48	Facility		$332.00	$753.00	$1,984.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $802.37 / $1,148.90 / $1,702.24	Professional		$802.37	$1,148.90	$1,702.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.02 / $689.02 / $689.02	Facility		$689.02	$689.02	$689.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.49 / $880.13 / $1,552.58	Professional		$598.49	$880.13	$1,552.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.02 / $3,842.39 / $8,460.82	Facility		$1,735.02	$3,842.39	$8,460.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $839.30	Facility		$555.00	$597.00	$839.30
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $734.91 / $1,115.04 / $2,604.63	Professional		$734.91	$1,115.04	$2,604.63
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 $655.89 / $937.59 / $2,398.94	Professional		$655.89	$937.59	$2,398.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $880.13 / $880.13 / $1,994.26	Facility		$880.13	$880.13	$1,994.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.16 / $960.22 / $1,860.46	Professional		$658.16	$960.22	$1,860.46