Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $12,302.69	Facility		$1,513.56	$2,137.96	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,467.37	Professional		$1,202.26	$1,659.59	$3,467.37
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 $1,380.38 / $1,737.80 / $4,365.16	Professional		$1,380.38	$1,737.80	$4,365.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $12,882.50	Facility		$1,698.24	$1,698.24	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,187.76	Professional		$1,698.24	$1,698.24	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $50,118.72	Facility		$34.67	$2,089.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $5,623.41	Professional		$1,318.26	$2,344.23	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $4,365.16	Facility		$1,122.02	$1,819.70	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,630.78	Professional		$1,862.09	$2,570.40	$3,630.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,311.31	Professional		$1,174.90	$1,995.26	$3,311.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $5,370.32	Facility		$1,047.13	$1,047.13	$5,370.32
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 / $2,137.96 / $3,467.37	Professional		$398.11	$2,137.96	$3,467.37
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 $1,148.15 / $1,737.80 / $4,265.80	Professional		$1,148.15	$1,737.80	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $7,413.10	Facility		$977.24	$1,445.44	$7,413.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $4,265.80	Professional		$1,174.90	$1,905.46	$4,265.80