Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $749.63 / $1,737.74	Facility		$234.96	$749.63	$1,737.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $1,026.48 / $2,732.68	Professional		$251.77	$1,026.48	$2,732.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.75 / $1,018.48 / $2,734.60	Professional		$754.75	$1,018.48	$2,734.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $277.89 / $1,254.00 / $4,050.00	Facility		$277.89	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $277.89 / $1,354.08	Professional		$277.89	$277.89	$1,354.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $296.25 / $296.25	Professional		$296.25	$296.25	$296.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.52 / $305.00 / $527.65	Facility		$226.52	$305.00	$527.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $780.23 / $1,035.20 / $1,562.33	Professional		$780.23	$1,035.20	$1,562.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.56 / $1,039.80 / $1,384.35	Professional		$665.56	$1,039.80	$1,384.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,286.28 / $2,286.28 / $2,791.12	Facility		$2,286.28	$2,286.28	$2,791.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $239.13 / $1,486.02	Professional		$216.85	$239.13	$1,486.02
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 $1,021.53 / $1,566.01 / $3,171.35	Professional		$1,021.53	$1,566.01	$3,171.35
United Facility/Professional Professional Modifier Low / Median / High Price $854.56 / $1,347.60 / $3,683.50	Professional		$854.56	$1,347.60	$3,683.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.42 / $244.42 / $535.02	Facility		$244.42	$244.42	$535.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $488.36 / $912.05 / $1,481.09	Professional		$488.36	$912.05	$1,481.09