Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.17 / $3,071.01 / $114,819.00	Facility		$979.17	$3,071.01	$114,819.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.31 / $1,571.78 / $6,581.33	Professional		$992.31	$1,571.78	$6,581.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $5,352.00 / $131,516.00	Facility		$2,451.00	$5,352.00	$131,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.22 / $1,712.78 / $3,742.91	Professional		$1,370.22	$1,712.78	$3,742.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,913.10 / $1,913.10 / $1,913.10	Facility		$1,913.10	$1,913.10	$1,913.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,913.10 / $1,913.10 / $1,913.10	Professional		$1,913.10	$1,913.10	$1,913.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.95 / $7,227.90 / $49,369.00	Facility		$1,583.95	$7,227.90	$49,369.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $156.96 / $156.96 / $156.96	Facility	AS	$156.96	$156.96	$156.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.11 / $2,257.84 / $7,132.43	Professional		$1,090.11	$2,257.84	$7,132.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $923.20 / $3,909.26	Facility		$332.00	$923.20	$3,909.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.90 / $2,119.69 / $4,979.47	Professional		$1,667.90	$2,119.69	$4,979.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.19 / $1,347.05 / $2,519.44	Professional		$656.19	$1,347.05	$2,519.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50,758.29 / $50,758.29 / $50,758.29	Facility		$50,758.29	$50,758.29	$50,758.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,583.95 / $47,916.75 / $97,605.00	Facility		$1,583.95	$47,916.75	$97,605.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $156.96 / $156.96 / $156.96	Facility	AS	$156.96	$156.96	$156.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $2,236.96 / $6,593.42	Professional		$995.40	$2,236.96	$6,593.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.55 / $1,961.56 / $4,655.83	Professional		$1,364.55	$1,961.56	$4,655.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,584.77 / $1,584.77 / $4,260.33	Facility		$1,584.77	$1,584.77	$4,260.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $656.19 / $1,697.00 / $2,878.47	Professional		$656.19	$1,697.00	$2,878.47