Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,754.40 / $12,882.50	Facility		$933.25	$5,754.40	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $2,570.40	Professional		$616.60	$794.33	$2,570.40
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 / $1,698.24	Professional		$549.54	$691.83	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $37,153.52	Facility		$954.99	$954.99	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,148.15 / $50,118.72	Facility		$34.67	$1,148.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $3,090.30	Professional		$676.08	$1,023.29	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $1,698.24	Facility		$380.19	$758.58	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,479.11	Professional		$741.31	$1,000.00	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,445.44	Professional		$575.44	$891.25	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $50,118.72 / $75,857.76	Facility		$691.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $1,445.44	Professional		$398.11	$891.25	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $2,041.74	Professional		$588.84	$831.76	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $3,090.30	Facility		$549.54	$812.83	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,995.26	Professional		$549.54	$851.14	$1,995.26