Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $12,302.69	Facility		$1,288.25	$1,862.09	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $3,090.30	Professional		$1,023.29	$1,412.54	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,715.35	Professional		$1,202.26	$1,513.56	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $12,882.50	Facility		$1,479.11	$1,479.11	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,905.46	Professional		$1,479.11	$1,479.11	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $50,118.72	Facility		$34.67	$1,778.28	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $4,897.79	Professional		$1,148.15	$2,041.74	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $3,801.89	Facility		$977.24	$1,584.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,162.28	Professional		$1,659.59	$2,290.87	$3,162.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,884.03	Professional		$1,047.13	$1,737.80	$2,884.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,862.09 / $3,019.95	Professional		$398.11	$1,862.09	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,715.35	Professional		$1,000.00	$1,548.82	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $6,456.54	Facility		$851.14	$1,230.27	$6,456.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,715.35	Professional		$1,047.13	$1,659.59	$3,715.35