Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.49 / $1,053.85 / $8,637.62	Facility		$855.49	$1,053.85	$8,637.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.49 / $1,029.06 / $1,053.85	Professional		$855.49	$1,029.06	$1,053.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.24 / $511.55 / $511.55	Facility		$409.24	$511.55	$511.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,033.20 / $1,053.85	Professional		$940.00	$1,033.20	$1,053.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,177.84 / $2,650.16	Facility		$319.00	$1,177.84	$2,650.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $895.78 / $1,053.85 / $1,053.85	Professional		$895.78	$1,053.85	$1,053.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,095.19 / $1,095.19	Facility		$1,053.85	$1,095.19	$1,095.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,095.19	Professional		$1,053.85	$1,053.85	$1,095.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,692.00 / $1,714.07 / $2,013.72	Facility		$1,692.00	$1,714.07	$2,013.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,053.85 / $1,053.85	Facility		$555.00	$1,053.85	$1,053.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,523.54	Professional		$1,033.20	$1,033.20	$1,523.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,095.19	Professional		$1,053.85	$1,053.85	$1,095.19