Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.82 / $5,324.00 / $11,806.00	Facility		$454.82	$5,324.00	$11,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $461.50 / $1,078.26	Professional		$357.23	$461.50	$1,078.26
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 $324.18 / $423.77 / $989.95	Professional		$324.18	$423.77	$989.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $519.11 / $2,644.00 / $12,319.50	Facility		$519.11	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $519.11 / $590.25	Professional		$519.11	$519.11	$590.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.87 / $634.87 / $7,289.38	Facility		$634.87	$634.87	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.01 / $704.20 / $1,465.79	Professional		$459.01	$704.20	$1,465.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $447.36 / $8,640.00	Facility		$332.00	$447.36	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.44 / $667.18 / $1,270.67	Professional		$514.44	$667.18	$1,270.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.97 / $586.27 / $2,002.00	Professional		$339.97	$586.27	$2,002.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,224.00 / $5,130.21 / $8,016.87	Facility		$4,224.00	$5,130.21	$8,016.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,289.38 / $11,528.00	Facility		$597.00	$7,289.38	$11,528.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $461.94 / $725.00 / $1,465.79	Professional		$461.94	$725.00	$1,465.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $12,945.00	Facility		$2,031.00	$4,840.00	$12,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.72 / $538.24 / $1,231.83	Professional		$374.72	$538.24	$1,231.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $1,187.98	Facility		$402.32	$402.32	$1,187.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $345.59 / $598.28 / $2,002.00	Professional		$345.59	$598.28	$2,002.00