Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $10,715.19	Facility		$954.99	$3,801.89	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Professional		$660.69	$870.96	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,621.81	Professional		$645.65	$758.58	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,398.83 / $10,964.78	Facility		$933.25	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,202.26	Professional		$933.25	$933.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $7,762.47	Facility		$1,148.15	$1,445.44	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,511.89	Professional		$630.96	$1,096.48	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,137.96	Facility		$524.81	$794.33	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,949.84	Professional		$1,000.00	$1,230.27	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,819.70	Professional		$691.83	$1,148.15	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $7,244.36	Facility		$1,949.84	$1,949.84	$7,244.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $50,118.72 / $75,857.76	Facility		$707.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $2,290.87	Professional		$398.11	$1,096.48	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $10,964.78	Facility		$1,819.70	$4,265.80	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,862.09	Professional		$549.54	$812.83	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $2,398.83	Facility		$549.54	$812.83	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,949.84	Professional		$691.83	$1,047.13	$1,949.84