Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.27 / $3,414.00 / $9,267.00	Facility		$474.27	$3,414.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $787.63 / $1,719.81	Professional		$317.33	$787.63	$1,719.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.08 / $873.73 / $2,295.26	Professional		$689.08	$873.73	$2,295.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $470.67 / $1,990.00 / $8,917.50	Facility		$470.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $470.67 / $470.67 / $1,398.36	Professional		$470.67	$470.67	$1,398.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $674.99 / $5,246.94	Facility		$674.99	$674.99	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $927.30 / $2,894.27	Professional		$375.00	$927.30	$2,894.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $437.55 / $1,070.03	Facility		$261.00	$437.55	$1,070.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $998.49 / $1,280.65 / $1,919.31	Professional		$998.49	$1,280.65	$1,919.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.22 / $1,065.20 / $1,808.18	Professional		$671.22	$1,065.20	$1,808.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.06 / $3,490.06 / $5,887.00	Facility		$3,490.06	$3,490.06	$5,887.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $674.99 / $5,246.94	Facility		$555.00	$674.99	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $1,170.55 / $2,869.30	Professional		$407.34	$1,170.55	$2,869.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.53 / $1,159.58 / $3,141.83	Professional		$778.53	$1,159.58	$3,141.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $449.57 / $449.57 / $1,024.49	Facility		$449.57	$449.57	$1,024.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $671.22 / $1,065.20 / $1,808.18	Professional		$671.22	$1,065.20	$1,808.18