Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.15 / $5,000.00 / $13,260.00	Facility		$937.15	$5,000.00	$13,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $1,818.79 / $3,359.09	Professional		$744.03	$1,818.79	$3,359.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.08 / $1,867.49 / $5,359.14	Professional		$1,440.08	$1,867.49	$5,359.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $975.94 / $4,275.50 / $16,534.50	Facility		$975.94	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $975.94 / $975.94 / $2,414.50	Professional		$975.94	$975.94	$2,414.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.93 / $1,180.93 / $13,296.25	Facility		$1,180.93	$1,180.93	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.73 / $1,866.48 / $5,144.28	Professional		$706.73	$1,866.48	$5,144.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,062.00 / $8,640.00	Facility		$332.00	$1,062.00	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.03 / $2,093.17 / $3,132.55	Professional		$1,713.03	$2,093.17	$3,132.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.71 / $2,187.92 / $2,897.01	Professional		$1,350.71	$2,187.92	$2,897.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,102.51 / $3,102.51 / $3,102.51	Facility		$3,102.51	$3,102.51	$3,102.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,035.00 / $13,296.25	Facility		$597.00	$6,035.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $741.66 / $2,126.69 / $5,235.96	Professional		$741.66	$2,126.69	$5,235.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $20,800.00	Facility		$2,337.00	$6,450.00	$20,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.39 / $2,062.53 / $5,167.04	Professional		$1,292.39	$2,062.53	$5,167.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $896.95 / $896.95 / $2,388.14	Facility		$896.95	$896.95	$2,388.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,107.46 / $2,187.92 / $3,215.61	Professional		$1,107.46	$2,187.92	$3,215.61