Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.66 / $4,109.00 / $10,686.00	Facility		$963.66	$4,109.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $942.50 / $1,892.65	Professional		$705.15	$942.50	$1,892.65
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 $646.01 / $802.24 / $1,810.75	Professional		$646.01	$802.24	$1,810.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,126.20 / $1,126.20 / $10,957.50	Facility		$1,126.20	$1,126.20	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,126.20 / $1,126.20 / $1,126.20	Professional		$1,126.20	$1,126.20	$1,126.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.46 / $910.46 / $7,227.90	Facility		$910.46	$910.46	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $1,178.14 / $2,773.38	Professional		$663.28	$1,178.14	$2,773.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $808.50 / $2,158.44	Facility		$332.00	$808.50	$2,158.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.38 / $1,117.53 / $1,659.61	Professional		$863.38	$1,117.53	$1,659.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.44 / $742.44 / $742.44	Facility		$742.44	$742.44	$742.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $949.16 / $1,473.10	Professional		$585.54	$949.16	$1,473.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,627.20 / $6,627.20 / $9,742.17	Facility		$6,627.20	$6,627.20	$9,742.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $910.46 / $7,227.90	Facility		$597.00	$910.46	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $738.53 / $1,150.78 / $2,701.24	Professional		$738.53	$1,150.78	$2,701.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $945.58 / $2,205.67	Professional		$669.82	$945.58	$2,205.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.16 / $949.16 / $2,725.80	Facility		$949.16	$949.16	$2,725.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $997.10 / $2,017.84	Professional		$585.54	$997.10	$2,017.84