Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $4,072.50 / $10,170.00	Facility		$645.00	$4,072.50	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $1,778.42 / $3,470.08	Professional		$426.92	$1,778.42	$3,470.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.83 / $2,273.17 / $5,278.92	Professional		$1,722.83	$2,273.17	$5,278.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $619.00 / $2,390.00 / $13,009.50	Facility		$619.00	$2,390.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $619.00 / $3,355.75	Professional		$619.00	$619.00	$3,355.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.94 / $730.94 / $4,138.47	Facility		$730.94	$730.94	$4,138.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.30 / $1,770.51 / $4,895.49	Professional		$413.30	$1,770.51	$4,895.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $494.55 / $1,124.75	Facility		$332.00	$494.55	$1,124.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.96 / $2,714.30 / $4,333.16	Professional		$2,345.96	$2,714.30	$4,333.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.60 / $2,499.03 / $4,440.16	Professional		$1,711.60	$2,499.03	$4,440.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,911.06 / $2,911.06 / $2,943.08	Professional		$2,911.06	$2,911.06	$2,943.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $730.94 / $74,999.25	Facility		$555.00	$730.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $508.16 / $2,455.31 / $5,341.42	Professional		$508.16	$2,455.31	$5,341.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,947.39 / $2,590.28 / $5,394.51	Professional		$1,947.39	$2,590.28	$5,394.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $570.58 / $601.70 / $619.02	Facility		$570.58	$601.70	$619.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $2,052.88 / $4,440.16	Professional		$601.70	$2,052.88	$4,440.16