Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.24 / $4,575.47 / $11,719.00	Facility		$639.24	$4,575.47	$11,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.56 / $1,823.73 / $4,819.68	Professional		$480.56	$1,823.73	$4,819.68
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 $2,282.16 / $3,144.45 / $7,113.00	Professional		$2,282.16	$3,144.45	$7,113.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $1,990.00 / $13,477.50	Facility		$616.27	$1,990.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.27 / $616.27 / $4,540.92	Professional		$616.27	$616.27	$4,540.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.47 / $740.47 / $7,227.90	Facility		$740.47	$740.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.81 / $1,591.68 / $7,871.48	Professional		$447.81	$1,591.68	$7,871.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $582.00 / $1,138.28	Facility		$319.00	$582.00	$1,138.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,634.51 / $3,449.16 / $5,211.83	Professional		$2,634.51	$3,449.16	$5,211.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,081.35 / $2,726.07 / $4,623.97	Professional		$2,081.35	$2,726.07	$4,623.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,881.62 / $14,938.62 / $23,889.96	Facility		$11,881.62	$14,938.62	$23,889.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.72 / $528.72 / $5,200.00	Professional		$528.72	$528.72	$5,200.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $740.47 / $74,999.25	Facility		$555.00	$740.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $447.81 / $2,937.13 / $8,491.44	Professional		$447.81	$2,937.13	$8,491.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $33,928.00	Facility		$2,705.00	$7,719.00	$33,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,850.75 / $4,114.01 / $9,773.23	Professional		$2,850.75	$4,114.01	$9,773.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $540.87 / $540.87 / $960.78	Facility		$540.87	$540.87	$960.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $2,726.07 / $4,947.09	Professional		$960.78	$2,726.07	$4,947.09