Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.29 / $4,574.00 / $10,024.00	Facility		$634.29	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $552.96 / $1,183.73	Professional		$407.06	$552.96	$1,183.73
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 $361.69 / $472.81 / $1,070.25	Professional		$361.69	$472.81	$1,070.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $648.41 / $1,990.00 / $8,917.50	Facility		$648.41	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $648.41 / $648.41 / $648.41	Professional		$648.41	$648.41	$648.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.23 / $515.23 / $1,685.80	Facility		$515.23	$515.23	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $571.40 / $1,299.25	Professional		$376.60	$571.40	$1,299.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $603.00 / $1,172.88	Facility		$332.00	$603.00	$1,172.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.08 / $623.28 / $969.86	Professional		$509.08	$623.28	$969.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $431.91 / $977.27	Professional		$236.20	$431.91	$977.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.07 / $4,446.07 / $4,446.07	Facility		$4,446.07	$4,446.07	$4,446.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $515.23 / $597.00 / $74,999.25	Facility		$515.23	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.40 / $602.54 / $1,299.25	Professional		$384.40	$602.54	$1,299.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $523.26 / $1,169.33	Professional		$382.41	$523.26	$1,169.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $629.82 / $629.82 / $1,260.77	Facility		$629.82	$629.82	$1,260.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $629.82 / $1,232.56	Professional		$236.20	$629.82	$1,232.56