Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.16 / $3,756.00 / $9,038.00	Facility		$734.16	$3,756.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $591.96 / $1,236.84	Professional		$505.37	$591.96	$1,236.84
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 $438.63 / $565.25 / $1,327.24	Professional		$438.63	$565.25	$1,327.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $796.58 / $1,716.00 / $6,213.00	Facility		$796.58	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $796.58 / $796.58 / $796.58	Professional		$796.58	$796.58	$796.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Facility		$679.25	$679.25	$679.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.76 / $837.43 / $2,130.73	Professional		$558.76	$837.43	$2,130.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $646.99 / $1,599.89	Facility		$332.00	$646.99	$1,599.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $929.35 / $1,372.35	Professional		$654.59	$929.35	$1,372.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.12 / $562.12 / $562.12	Facility		$562.12	$562.12	$562.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $786.96 / $1,263.22	Professional		$463.05	$786.96	$1,263.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,677.09 / $1,677.09 / $2,055.66	Facility		$1,677.09	$1,677.09	$2,055.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.25 / $1,483.25 / $1,483.25	Professional		$1,483.25	$1,483.25	$1,483.25
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 $560.27 / $832.78 / $1,933.50	Professional		$560.27	$832.78	$1,933.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.79 / $695.87 / $1,663.41	Professional		$499.79	$695.87	$1,663.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $716.10 / $716.10 / $2,505.65	Facility		$716.10	$716.10	$2,505.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $783.37 / $1,513.73	Professional		$463.05	$783.37	$1,513.73