Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.89 / $5,845.00 / $10,170.00	Facility		$671.89	$5,845.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $600.71 / $1,554.80	Professional		$309.26	$600.71	$1,554.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,565.00 / $21,263.00	Facility		$4,100.00	$7,565.00	$21,263.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $330.46 / $1,408.11	Professional		$256.43	$330.46	$1,408.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $506.67 / $1,990.00 / $8,917.50	Facility		$506.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $506.67 / $506.67 / $506.67	Professional		$506.67	$506.67	$506.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.89 / $408.89 / $5,246.94	Facility		$408.89	$408.89	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.68 / $747.96 / $1,458.45	Professional		$368.68	$747.96	$1,458.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $610.00 / $1,136.00	Facility		$319.00	$610.00	$1,136.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.04 / $502.69 / $1,007.02	Professional		$412.04	$502.69	$1,007.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $1,081.02 / $1,301.41	Professional		$324.00	$1,081.02	$1,301.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,518.42 / $5,887.00 / $9,604.17	Facility		$4,518.42	$5,887.00	$9,604.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.89 / $5,246.94 / $12,736.00	Facility		$408.89	$5,246.94	$12,736.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $754.42 / $1,619.26	Professional		$396.00	$754.42	$1,619.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,768.00 / $12,699.00	Facility		$2,264.00	$5,768.00	$12,699.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $534.28 / $1,041.02	Professional		$378.22	$534.28	$1,041.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $406.89 / $1,989.79	Facility		$406.89	$406.89	$1,989.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $364.02 / $860.49 / $1,301.41	Professional		$364.02	$860.49	$1,301.41