Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,248.07 / $12,589.25	Facility		$645.65	$5,248.07	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,479.11 / $3,801.89	Professional		$457.09	$1,479.11	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $6,025.60	Professional		$1,778.28	$2,290.87	$6,025.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $13,489.63	Facility		$602.56	$602.56	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $2,691.53	Professional		$602.56	$602.56	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $724.44 / $50,118.72	Facility		$34.67	$724.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,412.54 / $5,495.41	Professional		$407.38	$1,412.54	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $794.33 / $1,445.44	Facility		$446.68	$794.33	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,388.44	Professional		$1,737.80	$2,511.89	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,090.30	Professional		$1,230.27	$1,905.46	$3,090.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $18,620.87	Facility		$10,000.00	$10,000.00	$18,620.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,951.21	Professional		$2,137.96	$2,630.27	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $18,620.87	Facility		$2,511.89	$6,456.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,659.59 / $4,073.80	Professional		$426.58	$1,659.59	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,737.80	Facility		$338.84	$537.03	$1,737.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $3,467.37	Professional		$1,148.15	$1,905.46	$3,467.37