Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.49 / $5,613.00 / $11,996.00	Facility		$1,078.49	$5,613.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.39 / $932.68 / $1,827.32	Professional		$759.39	$932.68	$1,827.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.40 / $810.99 / $1,951.84	Professional		$620.40	$810.99	$1,951.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,105.88 / $1,105.88 / $10,957.50	Facility		$1,105.88	$1,105.88	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,105.88 / $1,105.88 / $1,105.88	Professional		$1,105.88	$1,105.88	$1,105.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.25 / $907.25 / $12,209.00	Facility		$907.25	$907.25	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.83 / $1,410.79 / $2,978.82	Professional		$844.83	$1,410.79	$2,978.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,425.00 / $3,080.55	Facility		$332.00	$1,425.00	$3,080.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $937.89 / $1,229.77 / $1,663.83	Professional		$937.89	$1,229.77	$1,663.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.38 / $840.86 / $1,467.36	Professional		$449.38	$840.86	$1,467.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,373.39 / $8,373.39 / $9,109.03	Facility		$8,373.39	$8,373.39	$9,109.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $907.25 / $12,209.00	Facility		$597.00	$907.25	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $913.47 / $1,532.01 / $3,008.66	Professional		$913.47	$1,532.01	$3,008.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $8,115.00 / $16,782.00	Facility		$2,705.00	$8,115.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.74 / $1,074.52 / $2,402.80	Professional		$765.74	$1,074.52	$2,402.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $854.12 / $854.12 / $2,570.11	Facility		$854.12	$854.12	$2,570.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.38 / $854.12 / $1,659.27	Professional		$449.38	$854.12	$1,659.27