Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $3,467.37	Facility		$1,148.15	$2,187.76	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $912.01 / $1,698.24	Professional		$309.03	$912.01	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,019.95	Facility		$1,148.15	$1,148.15	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $537.03 / $1,778.28	Professional		$41.69	$537.03	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,148.15	Facility		$691.83	$1,148.15	$1,148.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,454.71	Professional		$1,148.15	$1,148.15	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,454.71 / $4,168.69	Facility		$776.25	$2,454.71	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,584.89 / $5,623.41	Professional		$691.83	$1,584.89	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,162.28	Facility		$1,047.13	$1,513.56	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,187.76	Professional		$812.83	$1,148.15	$2,187.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $2,344.23 / $3,162.28	Facility		$30.90	$2,344.23	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $50,118.72	Facility		$1,513.56	$2,187.76	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,380.38	Facility		$1,047.13	$1,148.15	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,548.82	Professional		$489.78	$691.83	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,230.27	Facility		$977.24	$977.24	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,290.87	Professional		$933.25	$1,096.48	$2,290.87