Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.74 / $4,640.82 / $10,170.00	Facility		$872.74	$4,640.82	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.98 / $775.41 / $1,361.06	Professional		$640.98	$775.41	$1,361.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $627.76 / $1,601.15	Professional		$505.51	$627.76	$1,601.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $945.69 / $945.69 / $13,944.00	Facility		$945.69	$945.69	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $945.69 / $945.69 / $945.69	Professional		$945.69	$945.69	$945.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $764.02 / $764.02 / $7,619.44	Facility		$764.02	$764.02	$7,619.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $1,050.05 / $2,491.67	Professional		$571.29	$1,050.05	$2,491.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $805.36 / $1,812.06	Facility		$319.00	$805.36	$1,812.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $775.48 / $938.25 / $1,393.27	Professional		$775.48	$938.25	$1,393.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.28 / $623.28 / $623.28	Facility		$623.28	$623.28	$623.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.73 / $893.49 / $1,337.03	Professional		$541.73	$893.49	$1,337.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,351.11 / $11,351.11 / $11,351.11	Facility		$11,351.11	$11,351.11	$11,351.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $764.02 / $12,209.00	Facility		$597.00	$764.02	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.78 / $973.89 / $2,118.46	Professional		$600.78	$973.89	$2,118.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.47 / $803.18 / $1,997.33	Professional		$572.47	$803.18	$1,997.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $796.67 / $796.67 / $1,063.82	Facility		$796.67	$796.67	$1,063.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $984.79 / $1,693.65	Professional		$623.28	$984.79	$1,693.65