Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $2,952.00 / $8,442.00	Facility		$249.78	$2,952.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $549.52 / $1,240.75	Professional		$194.93	$549.52	$1,240.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.97 / $906.49 / $1,808.03	Professional		$637.97	$906.49	$1,808.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $1,716.00 / $6,213.00	Facility		$258.27	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $258.27 / $1,183.08	Professional		$258.27	$258.27	$1,183.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.48 / $307.48 / $4,612.43	Facility		$307.48	$307.48	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $605.82 / $1,772.10	Professional		$161.63	$605.82	$1,772.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $282.00 / $479.21	Facility		$206.17	$282.00	$479.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.78 / $952.24 / $1,471.15	Professional		$741.78	$952.24	$1,471.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.91 / $741.78 / $1,309.89	Professional		$573.91	$741.78	$1,309.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.32 / $3,664.32 / $3,664.32	Facility		$3,664.32	$3,664.32	$3,664.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $196.01 / $196.01	Professional		$196.01	$196.01	$196.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $307.48 / $597.00 / $74,999.25	Facility		$307.48	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.76 / $867.67 / $1,999.89	Professional		$210.76	$867.67	$1,999.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.85 / $996.35 / $2,245.19	Professional		$711.85	$996.35	$2,245.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.30 / $229.30 / $767.08	Facility		$229.30	$229.30	$767.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $458.14 / $863.00 / $1,515.45	Professional		$458.14	$863.00	$1,515.45