Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.07 / $10,057.29 / $20,842.40	Facility		$862.07	$10,057.29	$20,842.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.24 / $12,451.90 / $43,966.60	Professional		$904.24	$12,451.90	$43,966.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,402.65 / $14,041.18 / $33,303.65	Professional		$10,402.65	$14,041.18	$33,303.65
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $1,664.42 / $2,246.58 / $5,187.47	Professional	80	$1,664.42	$2,246.58	$5,187.47
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $1,456.37 / $1,965.76 / $4,539.05	Professional	AS	$1,456.37	$1,965.76	$4,539.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,003.38 / $2,390.00 / $10,957.50	Facility		$1,003.38	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,003.38 / $1,003.38 / $19,218.59	Professional		$1,003.38	$1,003.38	$19,218.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $1,088.86 / $1,088.86	Professional		$1,088.86	$1,088.86	$1,088.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,115.00 / $4,567.50	Facility		$332.00	$1,115.00	$4,567.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10,835.55 / $13,888.61 / $20,961.84	Professional		$10,835.55	$13,888.61	$20,961.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,645.84 / $13,589.29 / $18,780.58	Professional		$3,645.84	$13,589.29	$18,780.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34,944.26 / $34,944.26 / $34,944.26	Facility		$34,944.26	$34,944.26	$34,944.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,661.19 / $21,091.09 / $28,718.00	Professional		$1,661.19	$21,091.09	$28,718.00
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 $14,508.42 / $21,748.15 / $39,480.82	Professional		$14,508.42	$21,748.15	$39,480.82
United Facility/Professional Facility Modifier Low / Median / High Price $15,506.14 / $41,044.97 / $54,170.82	Facility		$15,506.14	$41,044.97	$54,170.82
United Facility/Professional Professional Modifier Low / Median / High Price $11,498.95 / $17,748.68 / $40,650.74	Professional		$11,498.95	$17,748.68	$40,650.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $877.84 / $877.84 / $1,967.66	Facility		$877.84	$877.84	$1,967.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,753.97 / $12,373.21 / $20,092.91	Professional		$1,753.97	$12,373.21	$20,092.91