Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.75 / $5,125.00 / $12,970.00	Facility		$635.75	$5,125.00	$12,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $2,176.76 / $3,728.46	Professional		$449.82	$2,176.76	$3,728.46
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 $1,871.36 / $2,641.47 / $5,421.96	Professional		$1,871.36	$2,641.47	$5,421.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $623.91 / $1,990.00 / $37,499.62	Facility		$623.91	$1,990.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $623.91 / $623.91 / $3,502.46	Professional		$623.91	$623.91	$3,502.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.54 / $7,227.90 / $19,581.00	Facility		$744.54	$7,227.90	$19,581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $1,551.99 / $5,323.24	Professional		$364.39	$1,551.99	$5,323.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $553.41 / $2,446.92	Facility		$332.00	$553.41	$2,446.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,165.36 / $2,880.96 / $4,315.42	Professional		$2,165.36	$2,880.96	$4,315.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.03 / $2,204.38 / $3,840.74	Professional		$1,681.03	$2,204.38	$3,840.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,151.08 / $9,151.08 / $9,151.08	Facility		$9,151.08	$9,151.08	$9,151.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,227.90 / $19,581.00	Facility		$597.00	$7,227.90	$19,581.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $2,075.21 / $5,857.36	Professional		$503.00	$2,075.21	$5,857.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $18,532.00	Facility		$2,705.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,171.42 / $2,957.60 / $6,862.95	Professional		$2,171.42	$2,957.60	$6,862.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.13 / $549.13 / $759.91	Facility		$549.13	$549.13	$759.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $850.59 / $2,204.38 / $4,109.12	Professional		$850.59	$2,204.38	$4,109.12