Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,370.32 / $12,302.69	Facility		$1,023.29	$5,370.32	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,862.09 / $11,748.98	Professional		$724.44	$1,862.09	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,498.45	Facility		$5,011.87	$11,220.18	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,079.46 / $17,782.79	Professional		$5,370.32	$7,079.46	$17,782.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,398.83 / $13,489.63	Facility		$933.25	$2,398.83	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $10,232.93	Professional		$933.25	$933.25	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,122.02 / $50,118.72	Facility		$34.67	$1,122.02	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $3,715.35 / $19,498.45	Professional		$660.69	$3,715.35	$19,498.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $2,137.96	Facility		$660.69	$891.25	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,332.54 / $12,589.25	Professional		$6,456.54	$9,332.54	$12,589.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $11,748.98	Professional		$5,011.87	$7,244.36	$11,748.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,748.98 / $14,791.08	Facility		$11,481.54	$11,748.98	$14,791.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $11,748.98	Professional		$812.83	$812.83	$11,748.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,332.54 / $10,471.29	Professional		$7,585.78	$9,332.54	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $26,915.35	Facility		$2,818.38	$8,511.38	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $5,248.07 / $14,454.40	Professional		$645.65	$5,248.07	$14,454.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,445.44	Facility		$524.81	$812.83	$1,445.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $6,165.95 / $10,715.19	Professional		$1,230.27	$6,165.95	$10,715.19