Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.94 / $4,910.00 / $11,609.00	Facility		$1,351.94	$4,910.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.16 / $1,319.04 / $4,614.84	Professional		$982.16	$1,319.04	$4,614.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,818.00 / $10,617.00 / $19,406.00	Facility		$4,818.00	$10,617.00	$19,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.68 / $1,045.68 / $2,695.05	Professional		$824.68	$1,045.68	$2,695.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,385.99 / $1,385.99 / $6,213.00	Facility		$1,385.99	$1,385.99	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,385.99 / $1,385.99 / $1,385.99	Professional		$1,385.99	$1,385.99	$1,385.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.20 / $1,113.20 / $7,227.90	Facility		$1,113.20	$1,113.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.11 / $1,844.85 / $5,975.04	Professional		$936.11	$1,844.85	$5,975.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,427.00 / $2,474.19	Facility		$319.00	$1,427.00	$2,474.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.68 / $1,327.85 / $1,987.20	Professional		$989.68	$1,327.85	$1,987.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $953.61 / $1,617.69	Professional		$666.74	$953.61	$1,617.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,668.22 / $3,668.22 / $3,738.87	Facility		$3,668.22	$3,668.22	$3,738.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,113.20 / $74,999.25	Facility		$555.00	$1,113.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $960.10 / $1,656.58 / $5,163.75	Professional		$960.10	$1,656.58	$5,163.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.27 / $1,235.16 / $3,437.64	Professional		$952.27	$1,235.16	$3,437.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,249.00 / $1,249.00 / $3,856.76	Facility		$1,249.00	$1,249.00	$3,856.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $1,425.84 / $2,495.56	Professional		$666.74	$1,425.84	$2,495.56