Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.83 / $6,250.00 / $14,744.41	Facility		$1,434.83	$6,250.00	$14,744.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.53 / $1,282.64 / $2,526.06	Professional		$1,106.53	$1,282.64	$2,526.06
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 $829.59 / $1,084.44 / $2,752.66	Professional		$829.59	$1,084.44	$2,752.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,449.51 / $3,478.50 / $13,477.50	Facility		$1,449.51	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,449.51 / $1,449.51 / $1,449.51	Professional		$1,449.51	$1,449.51	$1,449.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $2,907.52	Facility		$1,147.68	$1,147.68	$2,907.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.38 / $114.38 / $114.38	Facility	AS	$114.38	$114.38	$114.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.18 / $1,383.09 / $3,134.59	Professional		$848.18	$1,383.09	$3,134.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,351.00 / $2,593.87	Facility		$332.00	$1,351.00	$2,593.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $811.89 / $1,353.75 / $1,994.40	Professional		$811.89	$1,353.75	$1,994.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.42 / $1,259.58 / $2,172.87	Professional		$727.42	$1,259.58	$2,172.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,146.96 / $14,146.96 / $17,672.57	Facility		$14,146.96	$14,146.96	$17,672.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.31 / $1,254.89 / $1,268.69	Professional		$1,211.31	$1,254.89	$1,268.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,147.68 / $74,999.25	Facility		$555.00	$1,147.68	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $114.38 / $114.38 / $114.38	Facility	AS	$114.38	$114.38	$114.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $925.12 / $1,449.64 / $3,190.32	Professional		$925.12	$1,449.64	$3,190.32
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 $892.11 / $1,179.69 / $2,477.26	Professional		$892.11	$1,179.69	$2,477.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,400.33 / $1,400.33 / $4,097.04	Facility		$1,400.33	$1,400.33	$4,097.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $727.42 / $1,400.33 / $2,603.76	Professional		$727.42	$1,400.33	$2,603.76