Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.57 / $5,630.00 / $25,324.53	Facility		$443.57	$5,630.00	$25,324.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $897.57 / $3,650.51	Professional		$305.02	$897.57	$3,650.51
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 $1,511.33 / $1,959.88 / $4,907.06	Professional		$1,511.33	$1,959.88	$4,907.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $348.52 / $4,275.50 / $16,534.50	Facility		$348.52	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $348.52 / $348.52 / $3,092.91	Professional		$348.52	$348.52	$3,092.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.47 / $418.47 / $39,142.00	Facility		$418.47	$418.47	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $2,047.61 / $5,827.75	Professional		$300.00	$2,047.61	$5,827.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $420.00 / $8,640.00	Facility		$258.52	$420.00	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.74 / $2,561.11 / $3,936.84	Professional		$2,030.74	$2,561.11	$3,936.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,684.35 / $2,358.46 / $3,784.84	Professional		$1,684.35	$2,358.46	$3,784.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,051.42 / $5,861.96 / $9,560.69	Facility		$3,051.42	$5,861.96	$9,560.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $587.50 / $587.50	Professional		$587.50	$587.50	$587.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $418.47 / $8,147.00 / $39,142.00	Facility		$418.47	$8,147.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $2,450.16 / $6,216.06	Professional		$373.85	$2,450.16	$6,216.06
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 $1,804.31 / $2,569.11 / $5,011.57	Professional		$1,804.31	$2,569.11	$5,011.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $279.58 / $1,240.58	Facility		$279.58	$279.58	$1,240.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,077.19 / $2,358.48 / $3,784.84	Professional		$1,077.19	$2,358.48	$3,784.84