Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.94 / $6,050.00 / $12,466.00	Facility		$424.94	$6,050.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.37 / $1,647.53 / $8,420.89	Professional		$311.37	$1,647.53	$8,420.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.45 / $5,035.05 / $12,214.71	Professional		$3,485.45	$5,035.05	$12,214.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $442.46 / $1,990.00 / $16,534.50	Facility		$442.46	$1,990.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $442.46 / $442.46 / $7,054.19	Professional		$442.46	$442.46	$7,054.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.21 / $530.21 / $7,227.90	Facility		$530.21	$530.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $1,115.72 / $11,382.74	Professional		$260.77	$1,115.72	$11,382.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.57 / $382.63 / $1,756.60	Facility		$302.57	$382.63	$1,756.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,121.14 / $5,295.41 / $7,973.92	Professional		$4,121.14	$5,295.41	$7,973.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,842.26 / $4,838.68 / $6,451.27	Professional		$1,842.26	$4,838.68	$6,451.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $530.21 / $7,227.90 / $74,999.25	Facility		$530.21	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $362.76 / $4,980.60 / $11,976.68	Professional		$362.76	$4,980.60	$11,976.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,960.37 / $6,286.51 / $14,830.84	Professional		$3,960.37	$6,286.51	$14,830.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $525.96	Facility		$390.65	$390.65	$525.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.70 / $4,450.39 / $7,637.12	Professional		$588.70	$4,450.39	$7,637.12