Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,393.00 / $13,229.00	Facility		$1,819.00	$6,393.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.61 / $1,353.28 / $1,592.68	Professional		$953.61	$1,353.28	$1,592.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.86 / $1,242.44 / $3,323.31	Professional		$979.86	$1,242.44	$3,323.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,654.90 / $4,050.00	Facility		$1,350.00	$1,654.90	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,654.90 / $1,654.90 / $1,654.90	Professional		$1,654.90	$1,654.90	$1,654.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.56 / $1,458.56 / $13,296.25	Facility		$1,458.56	$1,458.56	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.65 / $6,111.66 / $6,111.66	Professional		$1,304.65	$6,111.66	$6,111.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.69 / $1,684.77 / $2,183.21	Professional		$1,040.69	$1,684.77	$2,183.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,350.04 / $12,350.04 / $12,350.04	Facility		$12,350.04	$12,350.04	$12,350.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,458.56 / $13,296.25	Facility		$555.00	$1,458.56	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,913.50 / $1,913.50 / $2,296.19	Professional		$1,913.50	$1,913.50	$2,296.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $13,032.37	Facility		$2,337.00	$5,963.00	$13,032.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.93 / $1,568.40 / $3,787.91	Professional		$1,062.93	$1,568.40	$3,787.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,040.69 / $1,040.69 / $1,190.83	Facility		$1,040.69	$1,040.69	$1,190.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,040.69 / $1,190.83 / $2,183.21	Professional		$1,040.69	$1,190.83	$2,183.21