Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,066.00 / $9,661.00	Facility		$1,508.00	$4,066.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $65.28	Professional		$51.00	$51.00	$65.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $119.87 / $213.95	Professional		$96.52	$119.87	$213.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,648.00 / $14,648.00 / $14,648.00	Facility		$14,648.00	$14,648.00	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.24 / $378.24 / $378.24	Professional		$378.24	$378.24	$378.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $26.35 / $26.35	Professional		$26.35	$26.35	$26.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $26.35 / $29.61	Professional		$23.65	$26.35	$29.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $374.00 / $374.00	Professional		$374.00	$374.00	$374.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $83.30 / $378.24	Professional		$48.00	$83.30	$378.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $27.82 / $53.06	Facility		$27.82	$27.82	$53.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $27.82 / $45.81	Professional		$27.82	$27.82	$45.81