Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.60 / $6,740.00 / $12,400.00	Facility		$877.60	$6,740.00	$12,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.31 / $4,823.28 / $10,933.20	Professional		$508.31	$4,823.28	$10,933.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $10,729.00 / $19,406.00	Facility		$4,793.00	$10,729.00	$19,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.27 / $6,817.02 / $17,157.36	Professional		$1,024.27	$6,817.02	$17,157.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $719.63 / $5,511.50 / $16,534.50	Facility		$719.63	$5,511.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $719.63 / $719.63 / $9,329.50	Professional		$719.63	$719.63	$9,329.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.73 / $2,688.93 / $20,005.43	Professional		$553.73	$2,688.93	$20,005.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $612.70 / $4,520.00	Facility		$332.00	$612.70	$4,520.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,749.92 / $8,191.19 / $12,055.47	Professional		$5,749.92	$8,191.19	$12,055.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,944.14 / $4,944.14 / $4,944.14	Facility		$4,944.14	$4,944.14	$4,944.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,078.82 / $6,921.80 / $11,729.62	Professional		$2,078.82	$6,921.80	$11,729.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,413.97 / $13,413.97 / $21,586.84	Facility		$13,413.97	$13,413.97	$21,586.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.97 / $726.97 / $726.97	Professional		$726.97	$726.97	$726.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $553.73 / $6,484.86 / $21,408.57	Professional		$553.73	$6,484.86	$21,408.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $17,108.00	Facility		$2,341.00	$6,762.00	$17,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,713.55 / $8,191.62 / $20,834.64	Professional		$5,713.55	$8,191.62	$20,834.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $850.77 / $850.77 / $1,580.16	Facility		$850.77	$850.77	$1,580.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,378.95 / $7,417.20 / $11,729.62	Professional		$1,378.95	$7,417.20	$11,729.62