Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.59 / $4,792.00 / $10,321.00	Facility		$843.59	$4,792.00	$10,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $778.55 / $1,598.22	Professional		$637.66	$778.55	$1,598.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.40 / $678.96 / $1,546.99	Professional		$519.40	$678.96	$1,546.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $899.93 / $2,390.00 / $10,957.50	Facility		$899.93	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $899.93 / $899.93 / $899.93	Professional		$899.93	$899.93	$899.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.98 / $724.98 / $6,511.02	Facility		$724.98	$724.98	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $1,103.97 / $2,495.35	Professional		$600.75	$1,103.97	$2,495.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $700.00 / $1,641.62	Facility		$319.00	$700.00	$1,641.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $729.61 / $869.07 / $1,300.60	Professional		$729.61	$869.07	$1,300.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.23 / $779.17 / $1,156.93	Professional		$488.23	$779.17	$1,156.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,746.59 / $7,913.45 / $21,616.00	Facility		$7,746.59	$7,913.45	$21,616.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $724.98 / $6,511.02	Facility		$555.00	$724.98	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $652.98 / $1,102.44 / $2,357.23	Professional		$652.98	$1,102.44	$2,357.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.80 / $777.67 / $1,989.78	Professional		$558.80	$777.67	$1,989.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $826.37 / $826.37 / $2,199.08	Facility		$826.37	$826.37	$2,199.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $488.23 / $826.37 / $1,349.77	Professional		$488.23	$826.37	$1,349.77