Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,910.00 / $14,508.43	Facility		$1,508.00	$4,910.00	$14,508.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.50 / $1,508.65 / $3,978.15	Professional		$319.50	$1,508.65	$3,978.15
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 $40.18 / $10,110.24 / $11,233.60	Professional		$40.18	$10,110.24	$11,233.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,972.50 / $2,972.50 / $8,917.50	Facility		$2,972.50	$2,972.50	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $7,227.90 / $12,209.00	Facility		$1,538.00	$7,227.90	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $4,004.79 / $4,004.79	Professional		$1,377.00	$4,004.79	$4,004.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,640.00 / $11,153.00	Facility		$2,813.00	$8,640.00	$11,153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,351.93 / $8,130.62 / $19,795.00	Facility		$4,351.93	$8,130.62	$19,795.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.11 / $1,103.11 / $3,230.50	Professional		$1,103.11	$1,103.11	$3,230.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $12,209.00	Facility		$555.00	$7,227.90	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $4,004.79 / $4,004.79	Professional		$1,377.00	$4,004.79	$4,004.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00