Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.95 / $6,387.00 / $13,456.20	Facility		$870.95	$6,387.00	$13,456.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.83 / $1,580.34 / $15,248.20	Professional		$613.83	$1,580.34	$15,248.20
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 $7,315.60 / $9,871.90 / $21,289.62	Professional		$7,315.60	$9,871.90	$21,289.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $786.46 / $2,390.00 / $13,477.50	Facility		$786.46	$2,390.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $786.46 / $786.46 / $13,607.92	Professional		$786.46	$786.46	$13,607.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.64 / $944.64 / $7,227.90	Facility		$944.64	$944.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.27 / $1,850.26 / $23,100.32	Professional		$562.27	$1,850.26	$23,100.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $727.00 / $1,381.12	Facility		$319.00	$727.00	$1,381.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,231.20 / $10,805.23 / $16,238.80	Professional		$8,231.20	$10,805.23	$16,238.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,169.97 / $9,385.99 / $13,163.75	Professional		$7,169.97	$9,385.99	$13,163.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,839.23 / $17,659.40 / $33,520.91	Facility		$11,839.23	$17,659.40	$33,520.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $944.64 / $74,999.25	Facility		$555.00	$944.64	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $662.95 / $9,315.34 / $24,900.89	Professional		$662.95	$9,315.34	$24,900.89
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 $8,510.79 / $11,972.64 / $29,863.57	Professional		$8,510.79	$11,972.64	$29,863.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $697.85 / $697.85 / $1,246.72	Facility		$697.85	$697.85	$1,246.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,246.72 / $9,385.99 / $15,420.34	Professional		$1,246.72	$9,385.99	$15,420.34