Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,168.69 / $10,964.78	Facility		$1,000.00	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,949.84	Professional		$660.69	$831.76	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,778.28	Professional		$549.54	$691.83	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $10,964.78	Facility		$1,071.52	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $50,118.72	Facility		$1,258.93	$1,258.93	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $3,311.31	Professional		$741.31	$1,122.02	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $2,818.38	Facility		$691.83	$912.01	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,698.24	Professional		$870.96	$1,202.26	$1,698.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,621.81	Professional		$616.60	$954.99	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $50,118.72 / $75,857.76	Facility		$758.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $2,089.30	Professional		$398.11	$954.99	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $2,238.72	Professional		$630.96	$891.25	$2,238.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $3,548.13	Facility		$616.60	$912.01	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,238.72	Professional		$616.60	$912.01	$2,238.72