Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,248.07 / $14,125.38	Facility		$588.84	$5,248.07	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,479.11 / $4,466.84	Professional		$436.52	$1,479.11	$4,466.84
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 $1,584.89 / $2,089.30 / $5,623.41	Professional		$1,584.89	$2,089.30	$5,623.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $8,912.51	Facility		$549.54	$549.54	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $2,691.53	Professional		$549.54	$549.54	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $660.69 / $50,118.72	Facility		$34.67	$660.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,412.54 / $4,786.30	Professional		$380.19	$1,412.54	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $1,348.96	Facility		$407.38	$741.31	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,311.31	Professional		$1,698.24	$2,454.71	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,019.95	Professional		$1,479.11	$2,041.74	$3,019.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,589.25 / $36,307.81	Facility		$4,897.79	$12,589.25	$36,307.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $478.63	Professional		$354.81	$478.63	$478.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $2,884.03	Professional		$2,089.30	$2,570.40	$2,884.03
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 $389.05 / $1,584.89 / $3,890.45	Professional		$389.05	$1,584.89	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $1,621.81	Facility		$309.03	$489.78	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,467.37	Professional		$1,148.15	$1,862.09	$3,467.37