Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.34 / $2,842.00 / $9,661.00	Facility		$532.34	$2,842.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $596.97 / $1,171.47	Professional		$323.41	$596.97	$1,171.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.14 / $565.36 / $1,445.72	Professional		$445.14	$565.36	$1,445.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $1,254.00 / $4,050.00	Facility		$491.88	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $491.88 / $915.85	Professional		$491.88	$491.88	$915.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.87 / $724.87 / $724.87	Facility		$724.87	$724.87	$724.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $829.94 / $2,084.78	Professional		$403.56	$829.94	$2,084.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $332.00 / $1,199.39	Facility		$190.00	$332.00	$1,199.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $950.70 / $1,347.56 / $2,064.12	Professional		$950.70	$1,347.56	$2,064.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.40 / $816.40 / $816.40	Facility		$816.40	$816.40	$816.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.63 / $882.37 / $1,793.85	Professional		$501.63	$882.37	$1,793.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,641.12 / $9,641.12 / $9,641.12	Facility		$9,641.12	$9,641.12	$9,641.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $410.78 / $905.33 / $2,366.52	Professional		$410.78	$905.33	$2,366.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.13 / $898.98 / $1,987.19	Professional		$550.13	$898.98	$1,987.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $486.61 / $486.61 / $1,517.68	Facility		$486.61	$486.61	$1,517.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.63 / $1,065.16 / $1,821.09	Professional		$501.63	$1,065.16	$1,821.09