Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,325.00 / $5,775.00 / $9,975.00	Facility		$3,325.00	$5,775.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,730.00 / $2,975.00	Professional		$2,100.00	$2,730.00	$2,975.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $6,991.25	Professional		$239.16	$239.16	$6,991.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Facility		$3,500.00	$3,500.00	$3,500.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,555.00 / $3,500.00 / $3,500.00	Professional		$2,555.00	$3,500.00	$3,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,980.25 / $5,093.89 / $12,224.35	Facility		$2,980.25	$5,093.89	$12,224.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,359.90 / $5,107.68 / $16,870.00	Professional		$3,359.90	$5,107.68	$16,870.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,550.00 / $7,875.00	Facility		$319.00	$4,550.00	$7,875.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $4,550.00 / $7,595.00	Professional		$2,450.00	$4,550.00	$7,595.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $3,456.72 / $6,346.53	Professional		$2,975.00	$3,456.72	$6,346.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,540.00 / $7,540.00 / $7,540.00	Facility		$7,540.00	$7,540.00	$7,540.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,093.89 / $12,599.61	Facility		$597.00	$5,093.89	$12,599.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,815.00 / $8,050.00	Professional		$2,275.00	$3,815.00	$8,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $5,250.00	Professional		$1,470.00	$2,100.00	$5,250.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $4,024.91 / $4,024.91	Facility		$3,500.00	$4,024.91	$4,024.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $3,500.00 / $4,206.71	Professional		$2,975.00	$3,500.00	$4,206.71