Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.94 / $5,845.00 / $11,715.06	Facility		$715.94	$5,845.00	$11,715.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.51 / $659.71 / $1,968.00	Professional		$489.51	$659.71	$1,968.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.60 / $657.68 / $1,476.32	Professional		$529.60	$657.68	$1,476.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $813.09 / $2,644.00 / $12,319.50	Facility		$813.09	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $813.09 / $813.09 / $813.09	Professional		$813.09	$813.09	$813.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.99 / $663.99 / $7,289.38	Facility		$663.99	$663.99	$7,289.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.40 / $66.40 / $66.40	Facility	AS	$66.40	$66.40	$66.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.95 / $921.67 / $2,409.59	Professional		$534.95	$921.67	$2,409.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $750.00 / $1,541.07	Facility		$319.00	$750.00	$1,541.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $684.92 / $794.70 / $1,189.31	Professional		$684.92	$794.70	$1,189.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.24 / $943.42 / $1,556.49	Professional		$470.24	$943.42	$1,556.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,346.33 / $4,289.30 / $6,911.87	Facility		$3,346.33	$4,289.30	$6,911.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $663.99 / $7,289.38	Facility		$555.00	$663.99	$7,289.38
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $66.40 / $66.40 / $66.40	Facility	AS	$66.40	$66.40	$66.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $566.42 / $954.25 / $2,169.10	Professional		$566.42	$954.25	$2,169.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.92 / $760.86 / $1,576.53	Professional		$538.92	$760.86	$1,576.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $675.52 / $675.52 / $1,683.10	Facility		$675.52	$675.52	$1,683.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.24 / $943.42 / $1,662.85	Professional		$470.24	$943.42	$1,662.85