Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.34 / $977.46 / $2,118.11	Facility		$382.34	$977.46	$2,118.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.84 / $1,344.81 / $3,304.49	Professional		$407.84	$1,344.81	$3,304.49
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 $951.54 / $1,284.04 / $3,321.31	Professional		$951.54	$1,284.04	$3,321.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $452.69 / $1,990.00 / $8,917.50	Facility		$452.69	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $452.69 / $452.69 / $1,670.67	Professional		$452.69	$452.69	$1,670.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $485.90 / $485.90	Professional		$485.90	$485.90	$485.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $497.00 / $820.37	Facility		$319.00	$497.00	$820.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $979.62 / $1,349.82 / $2,032.23	Professional		$979.62	$1,349.82	$2,032.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.99 / $1,305.54 / $1,644.44	Professional		$810.99	$1,305.54	$1,644.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.05 / $1,833.45 / $2,836.00	Professional		$1,530.05	$1,833.45	$2,836.00
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 $1,253.82 / $1,926.61 / $3,837.07	Professional		$1,253.82	$1,926.61	$3,837.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.17 / $1,647.93 / $3,670.95	Professional		$1,102.17	$1,647.93	$3,670.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $395.92 / $395.92 / $877.91	Facility		$395.92	$395.92	$877.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $791.07 / $1,172.68 / $1,904.32	Professional		$791.07	$1,172.68	$1,904.32