Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.04 / $5,122.00 / $12,592.00	Facility		$467.04	$5,122.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.96 / $1,801.17 / $3,465.36	Professional		$377.96	$1,801.17	$3,465.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,559.41 / $2,104.32 / $4,665.26	Professional		$1,559.41	$2,104.32	$4,665.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $484.74 / $484.74 / $37,499.62	Facility		$484.74	$484.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $484.74 / $484.74 / $2,846.69	Professional		$484.74	$484.74	$2,846.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.52 / $7,227.90 / $19,581.00	Facility		$586.52	$7,227.90	$19,581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.75 / $1,217.64 / $4,842.57	Professional		$345.75	$1,217.64	$4,842.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $460.70 / $1,968.96	Facility		$332.00	$460.70	$1,968.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.61 / $2,283.37 / $3,440.59	Professional		$1,742.61	$2,283.37	$3,440.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.74 / $2,080.10 / $3,059.22	Professional		$1,574.74	$2,080.10	$3,059.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,522.91 / $7,522.91 / $7,522.91	Facility		$7,522.91	$7,522.91	$7,522.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $586.52 / $7,227.90 / $19,581.00	Facility		$586.52	$7,227.90	$19,581.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.72 / $1,940.66 / $5,153.03	Professional		$407.72	$1,940.66	$5,153.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,782.00	Facility		$2,444.00	$6,762.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.32 / $2,600.86 / $5,929.48	Professional		$1,850.32	$2,600.86	$5,929.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $429.25 / $429.25 / $629.88	Facility		$429.25	$429.25	$629.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $705.04 / $2,015.51 / $3,272.99	Professional		$705.04	$2,015.51	$3,272.99