Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.54 / $2,792.00 / $7,227.91	Facility		$687.54	$2,792.00	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.52 / $627.82 / $1,330.97	Professional		$527.52	$627.82	$1,330.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.80 / $632.41 / $1,407.76	Professional		$483.80	$632.41	$1,407.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $810.96 / $1,254.00 / $4,050.00	Facility		$810.96	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $810.96 / $883.06	Professional		$810.96	$810.96	$883.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.85 / $985.85 / $985.85	Facility		$985.85	$985.85	$985.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.94 / $889.13 / $2,212.56	Professional		$591.94	$889.13	$2,212.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $631.77 / $1,562.90	Facility		$332.00	$631.77	$1,562.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $696.28 / $989.19 / $1,460.47	Professional		$696.28	$989.19	$1,460.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.45 / $763.22 / $1,346.34	Professional		$516.45	$763.22	$1,346.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,046.88 / $2,046.88 / $2,611.69	Facility		$2,046.88	$2,046.88	$2,611.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.40 / $1,525.40 / $1,656.52	Professional		$1,525.40	$1,525.40	$1,656.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $599.89 / $905.34 / $2,146.17	Professional		$599.89	$905.34	$2,146.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,705.00 / $4,730.00	Facility		$1,252.00	$2,705.00	$4,730.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.01 / $794.80 / $1,933.78	Professional		$570.01	$794.80	$1,933.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $700.04 / $700.04 / $2,562.26	Facility		$700.04	$700.04	$2,562.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $518.99 / $833.26 / $1,488.23	Professional		$518.99	$833.26	$1,488.23