Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.21 / $3,783.00 / $11,609.00	Facility		$443.21	$3,783.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.62 / $1,375.96 / $3,133.15	Professional		$333.62	$1,375.96	$3,133.15
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 $1,410.59 / $2,101.37 / $4,731.67	Professional		$1,410.59	$2,101.37	$4,731.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $456.00 / $8,917.50	Facility		$456.00	$456.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $2,709.09	Professional		$456.00	$456.00	$2,709.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $14,648.00	Facility		$569.66	$569.66	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.04 / $1,221.04 / $5,325.81	Professional		$329.04	$1,221.04	$5,325.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $352.38 / $886.55	Facility		$235.00	$352.38	$886.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.69 / $2,740.61 / $9,397.53	Professional		$1,883.69	$2,740.61	$9,397.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,572.92 / $2,441.25 / $3,724.83	Professional		$1,572.92	$2,441.25	$3,724.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.93 / $1,896.93 / $2,973.04	Professional		$1,896.93	$1,896.93	$2,973.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $569.66 / $597.00	Facility		$555.00	$569.66	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $1,948.04 / $5,869.53	Professional		$359.18	$1,948.04	$5,869.53
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 $1,654.67 / $2,423.88 / $6,034.20	Professional		$1,654.67	$2,423.88	$6,034.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $411.08 / $411.08 / $1,236.16	Facility		$411.08	$411.08	$1,236.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,018.66 / $2,246.69 / $3,724.83	Professional		$1,018.66	$2,246.69	$3,724.83