Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.41 / $4,648.00 / $10,686.00	Facility		$923.41	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.23 / $921.41 / $1,786.55	Professional		$718.23	$921.41	$1,786.55
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 $580.74 / $759.14 / $1,744.53	Professional		$580.74	$759.14	$1,744.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,005.88 / $1,005.88 / $10,957.50	Facility		$1,005.88	$1,005.88	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,005.88 / $1,005.88 / $1,005.88	Professional		$1,005.88	$1,005.88	$1,005.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.64 / $810.64 / $7,227.90	Facility		$810.64	$810.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.31 / $1,265.54 / $2,788.56	Professional		$670.31	$1,265.54	$2,788.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,199.00 / $1,918.40	Facility		$319.00	$1,199.00	$1,918.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $813.77 / $970.01 / $1,451.66	Professional		$813.77	$970.01	$1,451.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.37 / $861.36 / $1,303.36	Professional		$564.37	$861.36	$1,303.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,860.13 / $4,860.13 / $4,860.13	Facility		$4,860.13	$4,860.13	$4,860.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $810.64 / $7,227.90	Facility		$555.00	$810.64	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $730.21 / $1,212.52 / $2,567.01	Professional		$730.21	$1,212.52	$2,567.01
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 $574.00 / $891.51 / $2,206.14	Professional		$574.00	$891.51	$2,206.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $951.01 / $951.01 / $2,358.71	Facility		$951.01	$951.01	$2,358.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.37 / $951.01 / $1,508.64	Professional		$564.37	$951.01	$1,508.64