Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $2,739.00 / $10,170.00	Facility		$445.40	$2,739.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $582.99 / $1,201.24	Professional		$305.69	$582.99	$1,201.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,316.00	Facility		$2,385.00	$4,133.00	$9,316.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.58 / $586.83 / $1,391.72	Professional		$461.58	$586.83	$1,391.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $460.17 / $2,390.00 / $10,957.50	Facility		$460.17	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $460.17 / $460.17 / $967.22	Professional		$460.17	$460.17	$967.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $813.24 / $2,197.82	Professional		$363.48	$813.24	$2,197.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $389.59 / $876.58	Facility		$318.00	$389.59	$876.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $723.13 / $1,034.85 / $1,525.78	Professional		$723.13	$1,034.85	$1,525.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.66 / $625.66 / $625.66	Facility		$625.66	$625.66	$625.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $792.30 / $1,439.09	Professional		$394.24	$792.30	$1,439.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.44 / $4,805.00 / $9,240.00	Facility		$1,996.44	$4,805.00	$9,240.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $561.84 / $49,110.00	Facility		$555.00	$561.84	$49,110.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $849.84 / $2,261.64	Professional		$406.98	$849.84	$2,261.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.70 / $868.47 / $2,126.85	Professional		$566.70	$868.47	$2,126.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $383.11 / $383.11 / $1,029.68	Facility		$383.11	$383.11	$1,029.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $833.84 / $1,439.09	Professional		$394.24	$833.84	$1,439.09