Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.74 / $6,368.84 / $11,609.00	Facility		$695.74	$6,368.84	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.54 / $1,480.23 / $12,290.94	Professional		$524.54	$1,480.23	$12,290.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $17,761.00	Facility		$4,989.00	$9,750.00	$17,761.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,498.10 / $7,466.54 / $17,574.63	Professional		$5,498.10	$7,466.54	$17,574.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $666.14 / $1,990.00 / $13,477.50	Facility		$666.14	$1,990.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $666.14 / $666.14 / $11,049.74	Professional		$666.14	$666.14	$11,049.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.98 / $799.98 / $7,227.90	Facility		$799.98	$799.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $1,631.07 / $18,795.41	Professional		$472.08	$1,631.07	$18,795.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $610.00 / $1,194.41	Facility		$319.00	$610.00	$1,194.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,831.26 / $8,906.25 / $13,409.87	Professional		$6,831.26	$8,906.25	$13,409.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,679.24 / $7,435.67 / $11,887.35	Professional		$5,679.24	$7,435.67	$11,887.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,747.00 / $5,747.00 / $23,612.18	Facility		$5,747.00	$5,747.00	$23,612.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.86 / $1,115.10 / $12,126.34	Professional		$575.86	$1,115.10	$12,126.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $799.98 / $74,999.25	Facility		$555.00	$799.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $7,615.55 / $19,278.75	Professional		$565.50	$7,615.55	$19,278.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $33,590.00	Facility		$2,705.00	$7,719.00	$33,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,022.20 / $9,540.10 / $24,405.52	Professional		$7,022.20	$9,540.10	$24,405.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.80 / $588.80 / $1,045.73	Facility		$588.80	$588.80	$1,045.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,045.73 / $7,435.67 / $12,718.00	Professional		$1,045.73	$7,435.67	$12,718.00