Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $3,284.63 / $10,965.00	Facility		$104.30	$3,284.63	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $1,117.89 / $2,173.40	Professional		$64.48	$1,117.89	$2,173.40
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 $1,133.08 / $1,495.05 / $3,160.89	Professional		$1,133.08	$1,495.05	$3,160.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,765.73 / $2,242.57 / $4,741.33	Professional	50	$1,765.73	$2,242.57	$4,741.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $1,254.00 / $4,050.00	Facility		$75.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $75.75 / $2,046.19	Professional		$75.75	$75.75	$2,046.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Facility		$74.09	$74.09	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $1,137.89 / $2,940.85	Professional		$49.10	$1,137.89	$2,940.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.77 / $79.80 / $332.00	Facility		$50.77	$79.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.52 / $1,676.97 / $2,690.32	Professional		$1,417.52	$1,676.97	$2,690.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.71 / $1,310.98 / $1,984.98	Professional		$895.71	$1,310.98	$1,984.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $1,064.01 / $1,064.01 / $1,064.01	Professional		$1,064.01	$1,064.01	$1,064.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $1,668.97 / $1,790.95	Professional		$67.25	$1,668.97	$1,790.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $555.00 / $74,999.25	Facility		$74.09	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $1,613.07 / $3,268.10	Professional		$63.96	$1,613.07	$3,268.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.09 / $1,554.02 / $3,265.81	Professional		$1,133.09	$1,554.02	$3,265.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $59.97 / $155.49	Facility		$59.97	$59.97	$155.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $980.62 / $2,276.10	Professional		$111.52	$980.62	$2,276.10