Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.20 / $2,865.00 / $10,152.00	Facility		$855.20	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $906.14 / $1,758.15	Professional		$663.26	$906.14	$1,758.15
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 $763.59 / $967.49 / $1,979.08	Professional		$763.59	$967.49	$1,979.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,135.55 / $1,135.55 / $12,319.50	Facility		$1,135.55	$1,135.55	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,135.55 / $1,135.55 / $1,251.57	Professional		$1,135.55	$1,135.55	$1,251.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.71 / $685.71 / $1,334.17	Facility		$685.71	$685.71	$1,334.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.76 / $1,070.91 / $2,460.32	Professional		$673.76	$1,070.91	$2,460.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $846.15 / $2,044.60	Facility		$332.00	$846.15	$2,044.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $971.88 / $1,187.88 / $1,851.86	Professional		$971.88	$1,187.88	$1,851.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.04 / $819.23 / $1,632.76	Professional		$450.04	$819.23	$1,632.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.89 / $1,023.31 / $1,095.45	Professional		$993.89	$1,023.31	$1,095.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $685.71 / $74,999.25	Facility		$555.00	$685.71	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $710.06 / $1,126.44 / $2,519.10	Professional		$710.06	$1,126.44	$2,519.10
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 $741.80 / $994.36 / $2,340.87	Professional		$741.80	$994.36	$2,340.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,101.53 / $1,101.53 / $2,145.00	Facility		$1,101.53	$1,101.53	$2,145.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $450.04 / $1,101.53 / $2,060.61	Professional		$450.04	$1,101.53	$2,060.61