Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.30 / $4,574.00 / $10,686.00	Facility		$500.30	$4,574.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $478.77 / $902.31	Professional		$370.00	$478.77	$902.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.79 / $480.30 / $891.01	Professional		$378.79	$480.30	$891.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $522.15 / $1,990.00 / $8,917.50	Facility		$522.15	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $522.15 / $522.15 / $522.15	Professional		$522.15	$522.15	$522.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.67 / $420.67 / $5,246.94	Facility		$420.67	$420.67	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $600.90 / $1,377.22	Professional		$312.39	$600.90	$1,377.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $623.54 / $1,153.59	Facility		$319.00	$623.54	$1,153.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.63 / $524.84 / $756.65	Professional		$393.63	$524.84	$756.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $354.88 / $633.70	Professional		$256.92	$354.88	$633.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,268.50 / $2,268.50 / $3,496.42	Facility		$2,268.50	$2,268.50	$3,496.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $518.53 / $874.65	Professional		$445.96	$518.53	$874.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $420.67 / $5,246.94 / $74,999.25	Facility		$420.67	$5,246.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $322.42 / $601.00 / $1,359.12	Professional		$322.42	$601.00	$1,359.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $12,962.00	Facility		$2,264.00	$5,248.00	$12,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $488.26 / $1,158.31	Professional		$357.92	$488.26	$1,158.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $464.80 / $464.80 / $1,439.49	Facility		$464.80	$464.80	$1,439.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $530.51 / $928.69	Professional		$256.92	$530.51	$928.69