Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.21 / $4,905.00 / $10,965.00	Facility		$638.21	$4,905.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.92 / $617.54 / $1,080.64	Professional		$533.92	$617.54	$1,080.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.09 / $546.61 / $1,251.67	Professional		$431.09	$546.61	$1,251.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $646.63 / $819.92 / $1,877.50	Professional	50	$646.63	$819.92	$1,877.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $695.64 / $695.64 / $6,213.00	Facility		$695.64	$695.64	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $695.64 / $724.28	Professional		$695.64	$695.64	$724.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.65 / $377.65 / $819.65	Facility		$377.65	$377.65	$819.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.13 / $689.07 / $1,511.70	Professional		$413.13	$689.07	$1,511.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $600.00 / $1,255.58	Facility		$332.00	$600.00	$1,255.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $655.00 / $1,056.02	Professional		$240.00	$655.00	$1,056.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.17 / $475.96 / $945.68	Professional		$354.17	$475.96	$945.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.96 / $627.03 / $630.48	Professional		$475.96	$627.03	$630.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $377.65 / $597.00 / $74,999.25	Facility		$377.65	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $430.28 / $712.01 / $1,567.96	Professional		$430.28	$712.01	$1,567.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.38 / $597.29 / $1,165.16	Professional		$448.38	$597.29	$1,165.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $675.05 / $675.05 / $1,959.45	Facility		$675.05	$675.05	$1,959.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.17 / $675.05 / $1,282.72	Professional		$354.17	$675.05	$1,282.72