Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.43 / $3,016.00 / $8,020.00	Facility		$287.43	$3,016.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $716.87 / $1,592.31	Professional		$182.15	$716.87	$1,592.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.78 / $751.85 / $1,915.10	Professional		$579.78	$751.85	$1,915.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $1,716.00 / $6,213.00	Facility		$286.14	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $286.14 / $1,146.51	Professional		$286.14	$286.14	$1,146.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $344.43 / $4,612.43	Facility		$344.43	$344.43	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $790.59 / $2,418.26	Professional		$215.92	$790.59	$2,418.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $295.23 / $510.98	Facility		$223.00	$295.23	$510.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $769.97 / $992.73 / $1,485.67	Professional		$769.97	$992.73	$1,485.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $970.85 / $1,398.02	Professional		$608.16	$970.85	$1,398.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,227.39 / $4,260.33 / $6,912.40	Facility		$2,227.39	$4,260.33	$6,912.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $597.00 / $8,498.00	Facility		$344.43	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $948.18 / $2,495.96	Professional		$250.92	$948.18	$2,495.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.37 / $936.51 / $2,352.29	Professional		$616.37	$936.51	$2,352.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $258.68 / $710.54	Facility		$258.68	$258.68	$710.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $970.85 / $1,398.02	Professional		$534.42	$970.85	$1,398.02