Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.74 / $5,164.00 / $11,880.00	Facility		$1,062.74	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $846.23 / $1,562.25	Professional		$731.20	$846.23	$1,562.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.83 / $862.53 / $1,956.77	Professional		$659.83	$862.53	$1,956.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,144.22 / $2,644.00 / $12,319.50	Facility		$1,144.22	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,144.22 / $1,144.22 / $1,144.22	Professional		$1,144.22	$1,144.22	$1,144.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $924.75 / $924.75	Facility		$924.75	$924.75	$924.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.68 / $1,214.03 / $3,020.29	Professional		$795.68	$1,214.03	$3,020.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $913.50 / $2,170.06	Facility		$332.00	$913.50	$2,170.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $892.94 / $1,261.47 / $1,861.43	Professional		$892.94	$1,261.47	$1,861.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.80 / $766.80 / $766.80	Facility		$766.80	$766.80	$766.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $975.14 / $1,720.18	Professional		$663.10	$975.14	$1,720.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.85 / $1,103.85 / $1,103.85	Professional		$1,103.85	$1,103.85	$1,103.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $924.75	Facility		$555.00	$597.00	$924.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $830.67 / $1,214.03 / $2,792.82	Professional		$830.67	$1,214.03	$2,792.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.34 / $1,032.64 / $2,581.15	Professional		$719.34	$1,032.64	$2,581.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $975.14 / $975.14 / $3,734.28	Facility		$975.14	$975.14	$3,734.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $681.18 / $1,014.15 / $2,061.30	Professional		$681.18	$1,014.15	$2,061.30