Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.68 / $3,797.00 / $10,296.00	Facility		$801.68	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.99 / $801.55 / $1,507.11	Professional		$645.99	$801.55	$1,507.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.52 / $668.66 / $1,621.67	Professional		$511.52	$668.66	$1,621.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,099.76 / $1,099.76 / $37,499.62	Facility		$1,099.76	$1,099.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,099.76 / $1,099.76 / $1,099.76	Professional		$1,099.76	$1,099.76	$1,099.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.01 / $883.01 / $883.01	Facility		$883.01	$883.01	$883.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.68 / $1,088.90 / $3,125.24	Professional		$698.68	$1,088.90	$3,125.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $2,079.71	Facility		$332.00	$900.00	$2,079.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $850.81 / $1,168.34 / $1,783.94	Professional		$850.81	$1,168.34	$1,783.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.62 / $730.62 / $730.62	Facility		$730.62	$730.62	$730.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.58 / $904.93 / $1,643.66	Professional		$558.58	$904.93	$1,643.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.74 / $1,095.74 / $1,095.74	Professional		$1,095.74	$1,095.74	$1,095.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $883.01	Facility		$555.00	$597.00	$883.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $1,109.06 / $2,938.55	Professional		$755.59	$1,109.06	$2,938.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $1,041.39 / $2,318.78	Professional		$694.09	$1,041.39	$2,318.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $904.93 / $904.93 / $2,989.63	Facility		$904.93	$904.93	$2,989.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $558.58 / $1,001.83 / $1,969.61	Professional		$558.58	$1,001.83	$1,969.61