Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $4,392.00 / $10,024.57	Facility		$562.54	$4,392.00	$10,024.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $520.64 / $1,428.91	Professional		$412.16	$520.64	$1,428.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $426.81 / $1,100.56	Professional		$331.20	$426.81	$1,100.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $620.24 / $2,390.00 / $10,957.50	Facility		$620.24	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $620.24 / $620.24 / $620.24	Professional		$620.24	$620.24	$620.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.31 / $501.31 / $13,296.25	Facility		$501.31	$501.31	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $49.77 / $49.77 / $49.77	Facility	AS	$49.77	$49.77	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.41 / $798.57 / $1,892.38	Professional		$446.41	$798.57	$1,892.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.30 / $477.31 / $1,192.95	Facility		$255.30	$477.31	$1,192.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $525.04 / $598.62 / $917.25	Professional		$525.04	$598.62	$917.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $526.63 / $785.73	Professional		$358.11	$526.63	$785.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,499.76 / $3,763.46 / $8,463.01	Facility		$1,499.76	$3,763.46	$8,463.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.31 / $555.00 / $13,296.25	Facility		$501.31	$555.00	$13,296.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $49.77 / $49.77 / $49.77	Facility	AS	$49.77	$49.77	$49.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $451.62 / $785.54 / $1,630.32	Professional		$451.62	$785.54	$1,630.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.48 / $592.70 / $1,462.00	Professional		$433.48	$592.70	$1,462.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.63 / $526.63 / $1,175.86	Facility		$526.63	$526.63	$1,175.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.02 / $547.67 / $1,036.41	Professional		$388.02	$547.67	$1,036.41