Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.24 / $4,260.00 / $9,661.00	Facility		$917.24	$4,260.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.19 / $926.84 / $1,834.91	Professional		$729.19	$926.84	$1,834.91
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 $583.54 / $762.82 / $1,750.25	Professional		$583.54	$762.82	$1,750.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,011.45 / $1,990.00 / $8,917.50	Facility		$1,011.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,011.45 / $1,011.45 / $1,011.45	Professional		$1,011.45	$1,011.45	$1,011.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.60 / $814.60 / $5,246.94	Facility		$814.60	$814.60	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.90 / $1,234.44 / $2,801.42	Professional		$620.90	$1,234.44	$2,801.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,209.42 / $2,104.00	Facility		$319.00	$1,209.42	$2,104.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $816.95 / $974.26 / $1,458.02	Professional		$816.95	$974.26	$1,458.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.78 / $865.14 / $1,308.65	Professional		$555.78	$865.14	$1,308.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,564.44 / $6,564.44 / $6,564.44	Facility		$6,564.44	$6,564.44	$6,564.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $814.60 / $5,246.94	Facility		$555.00	$814.60	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $734.39 / $1,217.26 / $2,590.88	Professional		$734.39	$1,217.26	$2,590.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,509.00	Facility		$2,337.00	$6,450.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.82 / $896.60 / $2,236.08	Professional		$576.82	$896.60	$2,236.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.87 / $954.87 / $2,409.53	Facility		$954.87	$954.87	$2,409.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $555.78 / $954.87 / $1,514.76	Professional		$555.78	$954.87	$1,514.76