Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,801.89 / $10,000.00	Facility		$489.78	$3,801.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,071.52	Professional		$323.59	$501.19	$1,071.52
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 $371.54 / $478.63 / $1,230.27	Professional		$371.54	$478.63	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,995.26 / $8,912.51	Facility		$489.78	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $50,118.72	Facility		$602.56	$602.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,659.59	Professional		$354.81	$616.60	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $933.25	Facility		$223.87	$380.19	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,096.48	Professional		$549.54	$776.25	$1,096.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,023.29	Professional		$389.05	$630.96	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $891.25	Professional		$446.68	$501.19	$891.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $50,118.72 / $75,857.76	Facility		$354.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,288.25	Professional		$398.11	$645.65	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,258.93	Professional		$316.23	$501.19	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $416.87 / $1,584.89	Facility		$288.40	$416.87	$1,584.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,258.93	Professional		$389.05	$602.56	$1,258.93