Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,703.00 / $8,585.12	Facility		$645.00	$3,703.00	$8,585.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $672.19 / $1,465.07	Professional		$456.35	$672.19	$1,465.07
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 $498.67 / $651.86 / $1,743.17	Professional		$498.67	$651.86	$1,743.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $694.78 / $1,716.00 / $6,213.00	Facility		$694.78	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $694.78 / $1,042.36	Professional		$694.78	$694.78	$1,042.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.51 / $829.51 / $4,612.43	Facility		$829.51	$829.51	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.36 / $983.88 / $2,340.21	Professional		$455.36	$983.88	$2,340.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $692.00 / $1,297.19	Facility		$332.00	$692.00	$1,297.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $857.17 / $995.38 / $1,489.64	Professional		$857.17	$995.38	$1,489.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.17 / $790.26 / $1,358.21	Professional		$528.17	$790.26	$1,358.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,147.81 / $4,156.59 / $6,309.59	Facility		$4,147.81	$4,156.59	$6,309.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $829.51 / $4,612.43	Facility		$555.00	$829.51	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $573.84 / $1,016.26 / $2,346.82	Professional		$573.84	$1,016.26	$2,346.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,963.00 / $8,208.00	Facility		$2,264.00	$3,963.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.96 / $863.81 / $1,967.75	Professional		$427.96	$863.81	$1,967.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $529.77 / $529.77 / $1,618.36	Facility		$529.77	$529.77	$1,618.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $528.17 / $859.28 / $1,491.79	Professional		$528.17	$859.28	$1,491.79