Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.07 / $3,754.00 / $12,075.00	Facility		$528.07	$3,754.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.93 / $537.55 / $1,178.20	Professional		$407.93	$537.55	$1,178.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.09 / $498.16 / $1,339.74	Professional		$381.09	$498.16	$1,339.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.30 / $1,716.00 / $6,213.00	Facility		$588.30	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.30 / $588.30 / $748.26	Professional		$588.30	$588.30	$748.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.37 / $712.37 / $4,612.43	Facility		$712.37	$712.37	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.12 / $754.23 / $1,932.69	Professional		$366.12	$754.23	$1,932.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $468.54 / $1,104.82	Facility		$319.00	$468.54	$1,104.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.01 / $709.47 / $1,065.70	Professional		$616.01	$709.47	$1,065.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.01 / $489.29 / $1,055.33	Professional		$429.01	$489.29	$1,055.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,547.60 / $4,699.37 / $15,296.32	Facility		$3,547.60	$4,699.37	$15,296.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.30 / $794.88 / $1,001.17	Professional		$491.30	$794.88	$1,001.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $712.37 / $4,612.43	Facility		$555.00	$712.37	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.12 / $809.82 / $1,943.04	Professional		$426.12	$809.82	$1,943.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.88 / $684.41 / $1,555.89	Professional		$467.88	$684.41	$1,555.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.52 / $446.52 / $1,364.19	Facility		$446.52	$446.52	$1,364.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $656.12 / $1,112.92	Professional		$446.52	$656.12	$1,112.92