Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.33 / $4,308.00 / $11,609.00	Facility		$347.33	$4,308.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $1,157.94 / $6,341.60	Professional		$212.75	$1,157.94	$6,341.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,688.00 / $13,276.00	Facility		$4,046.00	$7,688.00	$13,276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.71 / $4,107.42 / $10,354.92	Professional		$433.71	$4,107.42	$10,354.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $308.01 / $308.01 / $16,534.50	Facility		$308.01	$308.01	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $308.01 / $308.01 / $5,011.85	Professional		$308.01	$308.01	$5,011.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.23 / $369.23 / $369.23	Facility		$369.23	$369.23	$369.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $1,162.85 / $12,003.17	Professional		$237.28	$1,162.85	$12,003.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $329.84 / $4,520.00	Facility		$228.28	$329.84	$4,520.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.67 / $4,181.26 / $6,154.52	Professional		$2,934.67	$4,181.26	$6,154.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,522.11 / $2,522.11 / $2,522.11	Facility		$2,522.11	$2,522.11	$2,522.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.59 / $3,783.67 / $6,006.63	Professional		$1,151.59	$3,783.67	$6,006.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $312.70 / $312.70	Professional		$312.70	$312.70	$312.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $369.23 / $555.00 / $37,776.00	Facility		$369.23	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $3,345.30 / $12,190.53	Professional		$237.22	$3,345.30	$12,190.53
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,047.98 / $4,724.14 / $11,672.92	Professional		$3,047.98	$4,724.14	$11,672.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $360.39 / $360.39 / $665.95	Facility		$360.39	$360.39	$665.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $581.11 / $3,783.67 / $6,006.63	Professional		$581.11	$3,783.67	$6,006.63