Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.61 / $5,288.55 / $10,965.00	Facility		$697.61	$5,288.55	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $540.49 / $1,213.75	Professional		$458.34	$540.49	$1,213.75
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 $442.66 / $578.65 / $1,248.55	Professional		$442.66	$578.65	$1,248.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $1,990.00 / $8,917.50	Facility		$730.36	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $730.36 / $730.36 / $730.36	Professional		$730.36	$730.36	$730.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $595.16	Facility		$595.16	$595.16	$595.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.58 / $773.05 / $1,925.10	Professional		$513.58	$773.05	$1,925.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $640.00 / $1,397.25	Facility		$332.00	$640.00	$1,397.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $574.35 / $812.36 / $1,198.53	Professional		$574.35	$812.36	$1,198.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.22 / $493.22 / $493.22	Facility		$493.22	$493.22	$493.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $690.51 / $1,106.67	Professional		$426.60	$690.51	$1,106.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,000.39 / $6,000.39 / $6,000.39	Facility		$6,000.39	$6,000.39	$6,000.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $722.19 / $726.14	Professional		$718.24	$722.19	$726.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $595.16 / $597.00	Facility		$555.00	$595.16	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $532.52 / $773.05 / $1,803.69	Professional		$532.52	$773.05	$1,803.69
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 $457.46 / $660.78 / $1,657.42	Professional		$457.46	$660.78	$1,657.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $627.36 / $2,335.82	Facility		$627.36	$627.36	$2,335.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.69 / $687.35 / $1,326.13	Professional		$429.69	$687.35	$1,326.13