Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $6,393.00 / $11,719.00	Facility		$1,516.00	$6,393.00	$11,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $1,077.06 / $1,573.77	Professional		$331.26	$1,077.06	$1,573.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.70 / $794.40 / $1,366.39	Professional		$639.70	$794.40	$1,366.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,351.14 / $1,351.14 / $6,213.00	Facility		$1,351.14	$1,351.14	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,351.14 / $1,351.14 / $1,351.14	Professional		$1,351.14	$1,351.14	$1,351.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $918.72 / $918.72 / $3,479.91	Facility		$918.72	$918.72	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $1,373.03 / $3,181.32	Professional		$529.66	$1,373.03	$3,181.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $601.35 / $1,040.81	Facility		$319.00	$601.35	$1,040.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.32 / $555.10 / $800.26	Professional		$416.32	$555.10	$800.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.04 / $333.15 / $579.54	Professional		$237.04	$333.15	$579.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.61 / $341.61 / $341.61	Facility		$341.61	$341.61	$341.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $918.72 / $74,999.25	Facility		$555.00	$918.72	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $434.45 / $852.54 / $2,707.41	Professional		$434.45	$852.54	$2,707.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $454.28 / $1,069.89	Professional		$322.77	$454.28	$1,069.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.35 / $436.35 / $755.18	Facility		$436.35	$436.35	$755.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $436.35 / $723.43	Professional		$237.44	$436.35	$723.43