Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.29 / $5,324.00 / $10,965.00	Facility		$1,169.29	$5,324.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $987.32 / $1,930.27	Professional		$667.51	$987.32	$1,930.27
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 $720.10 / $932.96 / $2,144.73	Professional		$720.10	$932.96	$2,144.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,254.07 / $2,390.00 / $10,957.50	Facility		$1,254.07	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,254.07 / $1,254.07 / $1,254.07	Professional		$1,254.07	$1,254.07	$1,254.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.47 / $992.47 / $2,907.52	Facility		$992.47	$992.47	$2,907.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.94 / $1,116.56 / $2,513.52	Professional		$732.94	$1,116.56	$2,513.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $976.00 / $2,246.46	Facility		$332.00	$976.00	$2,246.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $884.40 / $1,727.28	Professional		$660.00	$884.40	$1,727.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.62 / $887.58 / $1,882.29	Professional		$491.62	$887.58	$1,882.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,236.54 / $6,755.13 / $7,748.79	Facility		$5,236.54	$6,755.13	$7,748.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.72 / $1,085.70 / $1,202.95	Professional		$900.72	$1,085.70	$1,202.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $992.47 / $74,999.25	Facility		$555.00	$992.47	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $789.29 / $1,167.50 / $2,718.69	Professional		$789.29	$1,167.50	$2,718.69
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 $761.90 / $988.50 / $2,143.90	Professional		$761.90	$988.50	$2,143.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,213.06 / $1,213.06 / $2,787.47	Facility		$1,213.06	$1,213.06	$2,787.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.62 / $1,213.06 / $2,295.73	Professional		$491.62	$1,213.06	$2,295.73