Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.69 / $4,308.00 / $10,194.21	Facility		$540.69	$4,308.00	$10,194.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.83 / $459.11 / $1,118.14	Professional		$381.83	$459.11	$1,118.14
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 $370.75 / $472.75 / $1,037.42	Professional		$370.75	$472.75	$1,037.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $597.90 / $2,390.00 / $10,957.50	Facility		$597.90	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $597.90 / $597.90 / $597.90	Professional		$597.90	$597.90	$597.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.70 / $664.27 / $1,612.38	Professional		$427.70	$664.27	$1,612.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $449.60 / $1,144.76	Facility		$255.00	$449.60	$1,144.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $466.40 / $664.04 / $981.95	Professional		$466.40	$664.04	$981.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.51 / $400.51 / $400.51	Facility		$400.51	$400.51	$400.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $510.86 / $901.16	Professional		$347.38	$510.86	$901.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,545.78 / $4,545.78 / $4,545.78	Facility		$4,545.78	$4,545.78	$4,545.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $555.00 / $597.00	Facility		$484.32	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $421.15 / $636.88 / $1,493.71	Professional		$421.15	$636.88	$1,493.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $530.52 / $1,363.89	Professional		$377.48	$530.52	$1,363.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $510.86 / $510.86 / $1,153.23	Facility		$510.86	$510.86	$1,153.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $377.21 / $558.15 / $1,079.86	Professional		$377.21	$558.15	$1,079.86