Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.94 / $7,874.98 / $15,863.80	Facility		$716.94	$7,874.98	$15,863.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.67 / $9,749.96 / $34,305.10	Professional		$755.67	$9,749.96	$34,305.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,123.15 / $10,961.64 / $22,850.83	Professional		$8,123.15	$10,961.64	$22,850.83
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $1,299.70 / $1,753.86 / $3,545.60	Professional	80	$1,299.70	$1,753.86	$3,545.60
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $1,137.24 / $1,534.62 / $3,102.40	Professional	AS	$1,137.24	$1,534.62	$3,102.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $1,990.00 / $8,917.50	Facility		$837.25	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $837.25 / $14,993.66	Professional		$837.25	$837.25	$14,993.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.58 / $901.58 / $901.58	Professional		$901.58	$901.58	$901.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $923.00 / $3,779.86	Facility		$332.00	$923.00	$3,779.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,457.25 / $10,874.97 / $16,412.29	Professional		$8,457.25	$10,874.97	$16,412.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,645.84 / $9,446.79 / $14,707.10	Professional		$3,645.84	$9,446.79	$14,707.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,500.00 / $16,500.00 / $16,500.00	Facility		$16,500.00	$16,500.00	$16,500.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,731.56 / $13,731.56 / $16,454.53	Professional		$13,731.56	$13,731.56	$16,454.53
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 $11,283.88 / $14,547.89 / $29,176.49	Professional		$11,283.88	$14,547.89	$29,176.49
United Facility/Professional Professional Modifier Low / Median / High Price $9,124.45 / $13,776.41 / $31,620.71	Professional		$9,124.45	$13,776.41	$31,620.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $733.60 / $733.60 / $1,629.20	Facility		$733.60	$733.60	$1,629.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,465.77 / $9,169.16 / $15,734.79	Professional		$1,465.77	$9,169.16	$15,734.79