Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $6,740.00 / $12,592.00	Facility		$645.00	$6,740.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $2,491.34 / $10,873.05	Professional		$473.92	$2,491.34	$10,873.05
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 $955.09 / $6,784.87 / $17,064.75	Professional		$955.09	$6,784.87	$17,064.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $671.79 / $5,511.50 / $16,534.50	Facility		$671.79	$5,511.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $671.79 / $671.79 / $9,294.07	Professional		$671.79	$671.79	$9,294.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.86 / $2,274.08 / $19,820.71	Professional		$515.86	$2,274.08	$19,820.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $572.38 / $4,520.00	Facility		$332.00	$572.38	$4,520.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,723.79 / $8,153.57 / $11,999.97	Professional		$5,723.79	$8,153.57	$11,999.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,920.80 / $4,920.80 / $4,920.80	Facility		$4,920.80	$4,920.80	$4,920.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.00 / $6,889.12 / $11,677.68	Professional		$2,060.00	$6,889.12	$11,677.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,981.96 / $11,981.96 / $11,981.96	Facility		$11,981.96	$11,981.96	$11,981.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.44 / $677.44 / $677.44	Professional		$677.44	$677.44	$677.44
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 $515.86 / $6,455.83 / $21,310.31	Professional		$515.86	$6,455.83	$21,310.31
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 $5,687.24 / $8,156.54 / $20,448.98	Professional		$5,687.24	$8,156.54	$20,448.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $793.18 / $793.18 / $1,472.32	Facility		$793.18	$793.18	$1,472.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,284.83 / $7,382.18 / $11,677.68	Professional		$1,284.83	$7,382.18	$11,677.68