Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.18 / $5,324.00 / $11,080.00	Facility		$923.18	$5,324.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $862.78 / $1,816.39	Professional		$565.49	$862.78	$1,816.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.06 / $959.44 / $1,736.20	Professional		$760.06	$959.44	$1,736.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,051.32 / $2,390.00 / $10,957.50	Facility		$1,051.32	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,051.32 / $1,051.32 / $1,051.32	Professional		$1,051.32	$1,051.32	$1,051.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.89 / $849.89 / $6,511.02	Facility		$849.89	$849.89	$6,511.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $82.88 / $82.88	Facility	AS	$82.88	$82.88	$82.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $1,142.49 / $2,736.05	Professional		$636.29	$1,142.49	$2,736.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,178.00 / $1,980.81	Facility		$319.00	$1,178.00	$1,980.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $792.32 / $1,056.43 / $1,523.02	Professional		$792.32	$1,056.43	$1,523.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $711.87 / $1,271.18	Professional		$398.16	$711.87	$1,271.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,497.97 / $5,357.99 / $7,748.78	Facility		$4,497.97	$5,357.99	$7,748.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.35 / $890.35 / $890.35	Professional		$890.35	$890.35	$890.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $849.89 / $74,999.25	Facility		$555.00	$849.89	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $82.88 / $82.88	Facility	AS	$82.88	$82.88	$82.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $637.70 / $1,162.31 / $2,542.33	Professional		$637.70	$1,162.31	$2,542.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.58 / $946.14 / $2,203.38	Professional		$715.58	$946.14	$2,203.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $932.38 / $932.38 / $2,273.46	Facility		$932.38	$932.38	$2,273.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $1,062.16 / $1,862.93	Professional		$398.16	$1,062.16	$1,862.93