Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.11 / $999.14 / $2,846.82	Facility		$728.11	$999.14	$2,846.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.60 / $980.13 / $2,700.48	Professional		$610.60	$980.13	$2,700.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.87 / $840.05 / $2,659.95	Professional		$651.87	$840.05	$2,659.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,116.72 / $1,116.72 / $1,116.72	Facility		$1,116.72	$1,116.72	$1,116.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,116.72 / $1,116.72 / $1,428.02	Professional		$1,116.72	$1,116.72	$1,428.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,361.21 / $1,361.21 / $14,648.00	Facility		$1,361.21	$1,361.21	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.82 / $1,474.09 / $3,213.84	Professional		$952.82	$1,474.09	$3,213.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $848.56 / $2,153.12	Facility		$319.00	$848.56	$2,153.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,214.40 / $2,059.03	Professional		$1,000.00	$1,214.40	$2,059.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.57 / $952.26 / $1,907.04	Professional		$725.57	$952.26	$1,907.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,075.71 / $2,075.71 / $2,442.02	Professional		$2,075.71	$2,075.71	$2,442.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,361.21 / $7,227.90	Facility		$555.00	$1,361.21	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $900.22 / $1,574.77 / $3,270.30	Professional		$900.22	$1,574.77	$3,270.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.58 / $1,138.89 / $2,602.15	Professional		$779.58	$1,138.89	$2,602.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $852.25 / $852.25 / $1,815.26	Facility		$852.25	$852.25	$1,815.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $817.52 / $1,094.03 / $2,051.64	Professional		$817.52	$1,094.03	$2,051.64