Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.76 / $4,574.00 / $9,887.53	Facility		$854.76	$4,574.00	$9,887.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.57 / $842.34 / $1,803.06	Professional		$629.57	$842.34	$1,803.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $636.17 / $1,732.02	Professional		$493.67	$636.17	$1,732.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $992.90 / $1,990.00 / $8,917.50	Facility		$992.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $992.90 / $992.90	Professional		$992.90	$992.90	$992.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.68 / $780.68 / $5,246.94	Facility		$780.68	$780.68	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $1,198.63 / $2,521.71	Professional		$540.79	$1,198.63	$2,521.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,123.00 / $1,848.42	Facility		$332.00	$1,123.00	$1,848.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $795.97 / $928.86 / $1,390.08	Professional		$795.97	$928.86	$1,390.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.21 / $640.59 / $1,272.58	Professional		$510.21	$640.59	$1,272.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,232.72 / $5,232.72 / $5,232.72	Facility		$5,232.72	$5,232.72	$5,232.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $780.68 / $5,246.94	Facility		$555.00	$780.68	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $1,186.00 / $2,521.71	Professional		$565.00	$1,186.00	$2,521.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.03 / $759.53 / $1,894.32	Professional		$418.03	$759.53	$1,894.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $740.44 / $740.44 / $2,165.15	Facility		$740.44	$740.44	$2,165.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.21 / $773.19 / $1,639.03	Professional		$510.21	$773.19	$1,639.03