Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.69 / $2,281.00 / $4,533.89	Facility		$480.69	$2,281.00	$4,533.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.91 / $2,824.09 / $7,450.85	Professional		$504.91	$2,824.09	$7,450.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,321.34 / $3,132.49 / $7,199.71	Professional		$2,321.34	$3,132.49	$7,199.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $3,482.01 / $4,698.72 / $10,336.02	Professional	50	$3,482.01	$4,698.72	$10,336.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $556.34 / $1,990.00 / $8,917.50	Facility		$556.34	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $556.34 / $556.34 / $4,002.58	Professional		$556.34	$556.34	$4,002.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $608.66 / $608.66	Professional		$608.66	$608.66	$608.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $615.00 / $1,031.10	Facility		$319.00	$615.00	$1,031.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,404.02 / $3,149.95 / $4,759.43	Professional		$2,404.02	$3,149.95	$4,759.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.66 / $2,939.13 / $4,220.32	Professional		$1,736.66	$2,939.13	$4,220.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,943.39 / $5,943.39 / $5,943.39	Facility		$5,943.39	$5,943.39	$5,943.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $926.58 / $6,107.00	Professional		$423.77	$926.58	$6,107.00
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $717.42 / $717.42 / $717.42	Professional	50	$717.42	$717.42	$717.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,760.32 / $3,944.05 / $8,181.68	Professional		$2,760.32	$3,944.05	$8,181.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,603.30 / $3,905.98 / $10,107.08	Professional		$2,603.30	$3,905.98	$10,107.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $490.17 / $490.17 / $1,099.56	Facility		$490.17	$490.17	$1,099.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $979.38 / $2,780.48 / $4,515.22	Professional		$979.38	$2,780.48	$4,515.22