Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.02 / $3,002.62 / $8,000.14	Facility		$993.02	$3,002.62	$8,000.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.31 / $1,035.85 / $1,784.45	Professional		$859.31	$1,035.85	$1,784.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,594.00 / $7,904.00 / $8,783.00	Facility		$6,594.00	$7,904.00	$8,783.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.78 / $907.07 / $1,933.40	Professional		$711.78	$907.07	$1,933.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $1,120.83 / $3,226.00	Facility		$177.77	$1,120.83	$3,226.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $1,120.83 / $1,298.60	Professional		$177.77	$1,120.83	$1,298.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.34 / $804.91 / $1,095.34	Facility		$607.34	$804.91	$1,095.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.03 / $1,570.77 / $3,288.04	Professional		$755.03	$1,570.77	$3,288.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,016.64 / $5,719.00	Facility		$332.00	$1,016.64	$5,719.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.65 / $1,376.38 / $1,975.34	Professional		$1,039.65	$1,376.38	$1,975.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $1,201.50 / $2,221.26	Professional		$747.71	$1,201.50	$2,221.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,686.20 / $5,966.76 / $5,966.76	Facility		$4,686.20	$5,966.76	$5,966.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.22 / $1,059.22 / $1,070.86	Professional		$1,059.22	$1,059.22	$1,070.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,095.34 / $5,566.00	Facility		$555.00	$1,095.34	$5,566.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $759.81 / $1,451.24 / $3,043.14	Professional		$759.81	$1,451.24	$3,043.14
United Facility/Professional Professional Modifier Low / Median / High Price $806.99 / $1,096.81 / $3,211.90	Professional		$806.99	$1,096.81	$3,211.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,130.61 / $1,130.61 / $2,104.76	Facility		$1,130.61	$1,130.61	$2,104.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $790.56 / $1,295.65 / $2,457.52	Professional		$790.56	$1,295.65	$2,457.52