Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.42 / $3,797.00 / $11,396.00	Facility		$387.42	$3,797.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $1,092.80 / $2,261.19	Professional		$280.33	$1,092.80	$2,261.19
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 $1,044.52 / $1,363.68 / $3,242.04	Professional		$1,044.52	$1,363.68	$3,242.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $359.40 / $1,716.00 / $12,319.50	Facility		$359.40	$1,716.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $359.40 / $359.40 / $1,989.90	Professional		$359.40	$359.40	$1,989.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $7,227.90	Facility		$428.65	$428.65	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.12 / $903.55 / $3,466.85	Professional		$276.12	$903.55	$3,466.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $261.73 / $407.00 / $657.60	Facility		$261.73	$407.00	$657.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.78 / $1,729.39 / $2,594.08	Professional		$1,275.78	$1,729.39	$2,594.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.40 / $1,664.07 / $2,639.55	Professional		$768.40	$1,664.07	$2,639.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $314.11 / $314.11	Professional		$314.11	$314.11	$314.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $7,227.90	Facility		$428.65	$428.65	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $1,468.58 / $3,565.87	Professional		$288.52	$1,468.58	$3,565.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $13,262.00	Facility		$2,337.00	$5,963.00	$13,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.43 / $1,735.53 / $4,107.28	Professional		$1,291.43	$1,735.53	$4,107.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $316.10 / $316.10 / $674.55	Facility		$316.10	$316.10	$674.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $1,566.93 / $2,639.55	Professional		$649.04	$1,566.93	$2,639.55