Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.63 / $4,441.00 / $10,170.00	Facility		$747.63	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $737.73 / $1,459.83	Professional		$568.29	$737.73	$1,459.83
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 $465.09 / $607.97 / $1,398.04	Professional		$465.09	$607.97	$1,398.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $804.85 / $1,990.00 / $8,917.50	Facility		$804.85	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $804.85 / $804.85 / $804.85	Professional		$804.85	$804.85	$804.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.12 / $648.12 / $5,246.94	Facility		$648.12	$648.12	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.69 / $972.13 / $2,234.46	Professional		$494.69	$972.13	$2,234.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $963.45 / $1,576.00	Facility		$319.00	$963.45	$1,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $651.13 / $781.36 / $1,161.49	Professional		$651.13	$781.36	$1,161.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.53 / $689.18 / $1,043.33	Professional		$465.53	$689.18	$1,043.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,440.90 / $15,440.90 / $15,440.90	Facility		$15,440.90	$15,440.90	$15,440.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $648.12 / $5,246.94	Facility		$555.00	$648.12	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $584.01 / $970.18 / $2,193.19	Professional		$584.01	$970.18	$2,193.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $698.08 / $1,591.76	Professional		$452.38	$698.08	$1,591.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $761.28 / $761.28 / $1,886.16	Facility		$761.28	$761.28	$1,886.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $479.51 / $761.28 / $1,207.67	Professional		$479.51	$761.28	$1,207.67