Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.99 / $3,205.00 / $9,038.00	Facility		$733.99	$3,205.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $728.04 / $1,265.05	Professional		$486.68	$728.04	$1,265.05
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 $621.32 / $771.58 / $1,733.15	Professional		$621.32	$771.58	$1,733.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.90 / $1,716.00 / $6,213.00	Facility		$776.90	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $776.90 / $1,077.22	Professional		$776.90	$776.90	$1,077.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.47 / $915.47 / $1,424.38	Facility		$915.47	$915.47	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.47 / $835.41 / $1,820.76	Professional		$460.47	$835.41	$1,820.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,402.00	Facility		$332.00	$610.00	$1,402.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $819.20 / $994.96 / $1,559.62	Professional		$819.20	$994.96	$1,559.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $705.01 / $1,377.96	Professional		$405.55	$705.01	$1,377.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $755.47 / $932.59	Professional		$672.60	$755.47	$932.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $915.47 / $74,999.25	Facility		$555.00	$915.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $510.75 / $915.44 / $1,902.47	Professional		$510.75	$915.44	$1,902.47
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 $626.91 / $831.21 / $1,839.62	Professional		$626.91	$831.21	$1,839.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $754.33 / $754.33 / $1,513.80	Facility		$754.33	$754.33	$1,513.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $1,018.29 / $1,580.06	Professional		$405.55	$1,018.29	$1,580.06