Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.34 / $5,122.00 / $14,926.00	Facility		$402.34	$5,122.00	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.22 / $810.16 / $2,393.17	Professional		$308.22	$810.16	$2,393.17
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 $1,156.22 / $1,560.24 / $3,296.37	Professional		$1,156.22	$1,560.24	$3,296.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.26 / $5,064.50 / $15,193.50	Facility		$416.26	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $416.26 / $2,112.17	Professional		$416.26	$416.26	$2,112.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.92 / $7,227.90 / $19,581.00	Facility		$498.92	$7,227.90	$19,581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $1,027.89 / $3,576.26	Professional		$293.32	$1,027.89	$3,576.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $303.63 / $396.26 / $1,647.16	Facility		$303.63	$396.26	$1,647.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.18 / $1,712.16 / $2,565.73	Professional		$1,295.18	$1,712.16	$2,565.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.45 / $1,424.36 / $2,085.89	Professional		$1,099.45	$1,424.36	$2,085.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,633.13 / $7,497.21 / $16,195.19	Facility		$2,633.13	$7,497.21	$16,195.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $359.50 / $1,783.25	Professional		$359.50	$359.50	$1,783.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $498.92 / $7,227.90 / $19,581.00	Facility		$498.92	$7,227.90	$19,581.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $1,440.57 / $3,781.32	Professional		$350.80	$1,440.57	$3,781.32
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 $1,316.93 / $1,876.41 / $4,347.82	Professional		$1,316.93	$1,876.41	$4,347.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $368.23 / $368.23 / $541.67	Facility		$368.23	$368.23	$541.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $606.32 / $1,424.36 / $2,444.29	Professional		$606.32	$1,424.36	$2,444.29