Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.74 / $1,765.04 / $11,609.00	Facility		$1,256.74	$1,765.04	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.76 / $1,405.71 / $2,445.91	Professional		$1,076.76	$1,405.71	$2,445.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.47 / $1,506.92 / $3,383.01	Professional		$1,213.47	$1,506.92	$3,383.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,481.02 / $1,481.02 / $13,009.50	Facility		$1,481.02	$1,481.02	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,481.02 / $1,481.02 / $1,917.89	Professional		$1,481.02	$1,481.02	$1,917.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.21 / $2,024.95 / $4,640.26	Professional		$1,133.21	$2,024.95	$4,640.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,279.98 / $2,653.45	Facility		$319.00	$1,279.98	$2,653.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.12 / $2,184.27 / $3,046.20	Professional		$1,612.12	$2,184.27	$3,046.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,300.16 / $1,300.16 / $1,300.16	Facility		$1,300.16	$1,300.16	$1,300.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.13 / $1,634.88 / $2,883.96	Professional		$1,040.13	$1,634.88	$2,883.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $847.57 / $847.57	Facility		$847.57	$847.57	$847.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,787.12	Facility		$555.00	$597.00	$1,787.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,233.09 / $2,072.09 / $4,738.62	Professional		$1,233.09	$2,072.09	$4,738.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.03 / $1,756.99 / $4,327.25	Professional		$1,265.03	$1,756.99	$4,327.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $1,239.60 / $6,427.99	Facility		$1,239.60	$1,239.60	$6,427.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,111.72 / $1,811.90 / $2,883.96	Professional		$1,111.72	$1,811.90	$2,883.96