Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.04 / $3,756.00 / $11,609.00	Facility		$369.04	$3,756.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $870.21 / $1,869.30	Professional		$262.50	$870.21	$1,869.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.13 / $1,091.17 / $2,787.49	Professional		$791.13	$1,091.17	$2,787.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $378.45 / $378.45 / $8,917.50	Facility		$378.45	$378.45	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $378.45 / $378.45 / $1,634.62	Professional		$378.45	$378.45	$1,634.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $14,648.00	Facility		$459.52	$459.52	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $955.96 / $3,146.96	Professional		$270.05	$955.96	$3,146.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $315.89 / $704.54	Facility		$195.00	$315.89	$704.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,565.55 / $5,367.39	Professional		$1,075.86	$1,565.55	$5,367.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.31 / $1,323.20 / $2,193.76	Professional		$928.31	$1,323.20	$2,193.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.80 / $1,086.80 / $1,086.80	Professional		$1,086.80	$1,086.80	$1,086.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $597.00	Facility		$459.52	$459.52	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $1,195.41 / $3,379.55	Professional		$298.39	$1,195.41	$3,379.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.12 / $1,421.65 / $3,321.55	Professional		$999.12	$1,421.65	$3,321.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $336.28 / $336.28 / $1,026.52	Facility		$336.28	$336.28	$1,026.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $835.14 / $1,250.72 / $2,193.76	Professional		$835.14	$1,250.72	$2,193.76