Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.58 / $4,452.00 / $10,170.00	Facility		$1,207.58	$4,452.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.41 / $1,102.66 / $1,743.17	Professional		$821.41	$1,102.66	$1,743.17
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 $723.39 / $945.62 / $2,150.15	Professional		$723.39	$945.62	$2,150.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,293.40 / $1,990.00 / $8,917.50	Facility		$1,293.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,293.40 / $1,293.40 / $1,293.40	Professional		$1,293.40	$1,293.40	$1,293.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.32 / $1,026.32 / $1,424.38	Facility		$1,026.32	$1,026.32	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $1,150.48 / $2,587.33	Professional		$756.60	$1,150.48	$2,587.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,051.00 / $2,323.37	Facility		$332.00	$1,051.00	$2,323.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.15 / $1,239.13 / $1,923.76	Professional		$1,009.15	$1,239.13	$1,923.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.93 / $874.49 / $1,692.53	Professional		$490.93	$874.49	$1,692.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.75 / $1,119.75 / $1,119.75	Professional		$1,119.75	$1,119.75	$1,119.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,026.32 / $74,999.25	Facility		$555.00	$1,026.32	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $791.24 / $1,237.02 / $2,802.15	Professional		$791.24	$1,237.02	$2,802.15
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 $762.02 / $1,007.94 / $2,104.86	Professional		$762.02	$1,007.94	$2,104.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,250.75 / $1,250.75 / $2,958.75	Facility		$1,250.75	$1,250.75	$2,958.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $490.93 / $1,250.75 / $2,325.62	Professional		$490.93	$1,250.75	$2,325.62