Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.80 / $4,029.00 / $9,661.00	Facility		$1,278.80	$4,029.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.70 / $1,157.27 / $2,313.16	Professional		$964.70	$1,157.27	$2,313.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.28 / $1,128.48 / $2,562.88	Professional		$863.28	$1,128.48	$2,562.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,441.00 / $1,716.00 / $6,213.00	Facility		$1,441.00	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,441.00 / $1,441.00 / $1,441.00	Professional		$1,441.00	$1,441.00	$1,441.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.83 / $1,107.83 / $1,107.83	Facility		$1,107.83	$1,107.83	$1,107.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.49 / $1,667.26 / $3,743.16	Professional		$979.49	$1,667.26	$3,743.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,045.56 / $2,537.30	Facility		$332.00	$1,045.56	$2,537.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.81 / $1,485.08 / $2,176.44	Professional		$1,079.81	$1,485.08	$2,176.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.28 / $927.28 / $927.28	Facility		$927.28	$927.28	$927.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.66 / $1,184.43 / $2,089.37	Professional		$895.66	$1,184.43	$2,089.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,700.04 / $3,700.04 / $3,700.04	Facility		$3,700.04	$3,700.04	$3,700.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,107.83	Facility		$555.00	$597.00	$1,107.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,061.60 / $1,619.21 / $3,569.74	Professional		$1,061.60	$1,619.21	$3,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,395.00 / $15,611.00	Facility		$2,337.00	$7,395.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $1,305.81 / $3,008.55	Professional		$936.88	$1,305.81	$3,008.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,184.43 / $1,184.43 / $4,450.97	Facility		$1,184.43	$1,184.43	$4,450.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $909.84 / $1,292.25 / $2,503.69	Professional		$909.84	$1,292.25	$2,503.69