Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.20 / $2,865.00 / $7,185.00	Facility		$491.20	$2,865.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $813.26 / $1,561.05	Professional		$372.48	$813.26	$1,561.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.34 / $838.22 / $2,179.29	Professional		$630.34	$838.22	$2,179.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $486.74 / $1,254.00 / $4,050.00	Facility		$486.74	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $486.74 / $486.74 / $1,295.07	Professional		$486.74	$486.74	$1,295.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.46 / $587.46 / $3,479.91	Facility		$587.46	$587.46	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.79 / $941.69 / $2,622.66	Professional		$359.79	$941.69	$2,622.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $582.87 / $947.20	Facility		$319.00	$582.87	$947.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $877.58 / $1,137.83 / $1,702.82	Professional		$877.58	$1,137.83	$1,702.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.39 / $1,020.12 / $1,588.47	Professional		$714.39	$1,020.12	$1,588.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.09 / $2,815.24 / $5,795.91	Facility		$1,081.09	$2,815.24	$5,795.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $587.46 / $597.00 / $8,498.00	Facility		$587.46	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $420.24 / $1,107.45 / $2,664.44	Professional		$420.24	$1,107.45	$2,664.44
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 $732.42 / $1,077.08 / $2,437.96	Professional		$732.42	$1,077.08	$2,437.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $442.47 / $442.47 / $1,232.88	Facility		$442.47	$442.47	$1,232.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $607.23 / $1,047.19 / $1,763.16	Professional		$607.23	$1,047.19	$1,763.16