Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.19 / $3,297.67 / $8,907.44	Facility		$440.19	$3,297.67	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.24 / $461.37 / $940.89	Professional		$344.24	$461.37	$940.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.64 / $451.83 / $1,124.26	Professional		$345.64	$451.83	$1,124.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $469.40 / $469.40 / $16,534.50	Facility		$469.40	$469.40	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $469.40 / $469.40 / $669.93	Professional		$469.40	$469.40	$669.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.05 / $569.05 / $10,297.11	Facility		$569.05	$569.05	$10,297.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.91 / $56.91 / $56.91	Facility	AS	$56.91	$56.91	$56.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.65 / $724.93 / $1,599.74	Professional		$373.65	$724.93	$1,599.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $363.19 / $904.19	Facility		$223.00	$363.19	$904.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $556.52 / $633.48 / $963.16	Professional		$556.52	$633.48	$963.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.99 / $479.14 / $841.02	Professional		$377.99	$479.14	$841.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.57 / $3,160.62 / $4,980.33	Facility		$2,171.57	$3,160.62	$4,980.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $569.05 / $10,297.11	Facility		$555.00	$569.05	$10,297.11
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $56.91 / $56.91 / $56.91	Facility	AS	$56.91	$56.91	$56.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.31 / $725.93 / $1,599.74	Professional		$436.31	$725.93	$1,599.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $607.92 / $1,333.41	Professional		$431.06	$607.92	$1,333.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $401.00 / $882.49	Facility		$401.00	$401.00	$882.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $377.99 / $586.22 / $946.03	Professional		$377.99	$586.22	$946.03