Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.29 / $3,832.00 / $8,442.00	Facility		$741.29	$3,832.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.71 / $677.36 / $1,675.08	Professional		$494.71	$677.36	$1,675.08
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 $419.06 / $540.03 / $1,419.53	Professional		$419.06	$540.03	$1,419.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $788.41 / $1,716.00 / $6,213.00	Facility		$788.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $788.41 / $788.41	Professional		$788.41	$788.41	$788.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.44 / $636.44 / $4,612.43	Facility		$636.44	$636.44	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.81 / $960.18 / $2,189.27	Professional		$483.81	$960.18	$2,189.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $560.00 / $1,441.46	Facility		$319.00	$560.00	$1,441.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $762.76 / $1,141.51	Professional		$640.65	$762.76	$1,141.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $617.40 / $1,016.89	Professional		$433.23	$617.40	$1,016.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,502.70 / $6,502.70 / $6,502.70	Facility		$6,502.70	$6,502.70	$6,502.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $636.44 / $4,612.43	Facility		$555.00	$636.44	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $571.61 / $954.57 / $2,008.52	Professional		$571.61	$954.57	$2,008.52
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 $456.88 / $671.24 / $1,740.26	Professional		$456.88	$671.24	$1,740.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $726.35 / $726.35 / $1,920.78	Facility		$726.35	$726.35	$1,920.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $699.43 / $1,186.39	Professional		$433.23	$699.43	$1,186.39