Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.06 / $5,960.00 / $24,102.00	Facility		$681.06	$5,960.00	$24,102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.35 / $642.39 / $1,473.52	Professional		$520.35	$642.39	$1,473.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,449.00 / $63,648.00	Facility		$4,989.00	$10,449.00	$63,648.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $611.92 / $1,267.68	Professional		$468.12	$611.92	$1,267.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $730.76 / $5,064.50 / $15,193.50	Facility		$730.76	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $730.76 / $730.76 / $730.76	Professional		$730.76	$730.76	$730.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.87 / $33,148.00 / $34,143.00	Facility		$578.87	$33,148.00	$34,143.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $839.45 / $1,865.45	Professional		$514.82	$839.45	$1,865.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $931.00 / $4,250.82	Facility		$332.00	$931.00	$4,250.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $720.72 / $1,039.04	Professional		$540.54	$720.72	$1,039.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $696.06 / $921.13	Professional		$361.80	$696.06	$921.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.56 / $7,787.24 / $25,484.12	Facility		$1,466.56	$7,787.24	$25,484.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $578.87 / $34,143.00 / $74,999.25	Facility		$578.87	$34,143.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $839.45 / $1,865.45	Professional		$527.85	$839.45	$1,865.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,857.00 / $12,505.00 / $45,860.00	Facility		$2,857.00	$12,505.00	$45,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $693.97 / $1,546.85	Professional		$514.79	$693.97	$1,546.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $921.13 / $921.13 / $2,516.90	Facility		$921.13	$921.13	$2,516.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $738.89 / $1,281.58	Professional		$361.80	$738.89	$1,281.58