Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $2,892.00 / $9,661.00	Facility		$162.43	$2,892.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $516.65 / $2,043.79	Professional		$118.56	$516.65	$2,043.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.37 / $930.71 / $2,528.17	Professional		$360.37	$930.71	$2,528.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $167.30 / $6,213.00	Facility		$167.30	$167.30	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $167.30 / $1,832.17	Professional		$167.30	$167.30	$1,832.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $202.58 / $10,297.11	Facility		$202.58	$202.58	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $551.94 / $2,770.90	Professional		$131.18	$551.94	$2,770.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.50 / $200.39 / $346.00	Facility		$126.50	$200.39	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.45 / $1,623.18 / $2,407.48	Professional		$1,252.45	$1,623.18	$2,407.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.46 / $1,105.46 / $1,105.46	Facility		$1,105.46	$1,105.46	$1,105.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.43 / $1,467.92 / $2,278.21	Professional		$943.43	$1,467.92	$2,278.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,229.68 / $5,229.68 / $5,229.68	Facility		$5,229.68	$5,229.68	$5,229.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $555.00 / $10,297.11	Facility		$202.58	$555.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $1,236.33 / $2,947.84	Professional		$145.33	$1,236.33	$2,947.84
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.79 / $1,355.63 / $3,259.92	Professional		$981.79	$1,355.63	$3,259.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.36 / $140.36 / $249.63	Facility		$140.36	$140.36	$249.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $370.88 / $1,467.92 / $2,330.92	Professional		$370.88	$1,467.92	$2,330.92