Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $1,348.96	Facility		$398.11	$933.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,096.48	Professional		$478.63	$630.96	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,398.83	Facility		$1,202.26	$1,202.26	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,041.74	Professional		$660.69	$660.69	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $977.24 / $977.24	Facility		$912.01	$977.24	$977.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $50,118.72	Facility		$741.31	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,174.90	Professional		$537.03	$537.03	$1,174.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $4,570.88	Facility		$1,202.26	$1,949.84	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $2,290.87	Professional		$741.31	$1,258.93	$2,290.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Facility		$794.33	$794.33	$831.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $794.33	Professional		$707.95	$741.31	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,148.15	Professional		$776.25	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,230.27 / $1,445.44	Facility		$436.52	$1,230.27	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $831.76	Facility		$707.95	$776.25	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $794.33	Professional		$707.95	$741.31	$794.33