Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.64 / $5,168.00 / $10,674.00	Facility		$1,008.64	$5,168.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.24 / $802.46 / $1,969.18	Professional		$684.24	$802.46	$1,969.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.46 / $884.25 / $1,893.07	Professional		$677.46	$884.25	$1,893.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,088.56 / $2,390.00 / $10,957.50	Facility		$1,088.56	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,088.56 / $1,088.56 / $1,088.56	Professional		$1,088.56	$1,088.56	$1,088.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.89 / $877.89 / $877.89	Facility		$877.89	$877.89	$877.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.07 / $1,192.89 / $2,862.06	Professional		$768.07	$1,192.89	$2,862.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $915.00 / $2,060.71	Facility		$332.00	$915.00	$2,060.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $847.62 / $1,197.75 / $1,767.63	Professional		$847.62	$1,197.75	$1,767.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $727.88	Facility		$727.88	$727.88	$727.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.40 / $927.06 / $1,635.36	Professional		$630.40	$927.06	$1,635.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,568.88 / $6,568.88 / $6,568.88	Facility		$6,568.88	$6,568.88	$6,568.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,051.57 / $1,078.40	Professional		$1,051.57	$1,051.57	$1,078.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $877.89	Facility		$555.00	$597.00	$877.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $798.37 / $1,170.35 / $2,661.66	Professional		$798.37	$1,170.35	$2,661.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.82 / $949.75 / $2,477.04	Professional		$683.82	$949.75	$2,477.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $927.06 / $927.06 / $3,759.37	Facility		$927.06	$927.06	$3,759.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $1,014.38 / $1,959.66	Professional		$670.00	$1,014.38	$1,959.66