Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.68 / $2,010.83 / $11,609.00	Facility		$1,426.68	$2,010.83	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.30 / $1,605.38 / $2,804.14	Professional		$1,246.30	$1,605.38	$2,804.14
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 $1,392.14 / $1,728.81 / $3,817.56	Professional		$1,392.14	$1,728.81	$3,817.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,714.58 / $1,714.58 / $13,009.50	Facility		$1,714.58	$1,714.58	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,714.58 / $1,714.58 / $2,192.51	Professional		$1,714.58	$1,714.58	$2,192.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.04 / $2,067.04 / $2,067.04	Facility		$2,067.04	$2,067.04	$2,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.67 / $2,333.96 / $5,405.36	Professional		$1,297.67	$2,333.96	$5,405.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,479.66 / $3,065.38	Facility		$319.00	$1,479.66	$3,065.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.62 / $2,488.64 / $3,471.45	Professional		$1,837.62	$2,488.64	$3,471.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,483.23 / $1,483.23 / $1,483.23	Facility		$1,483.23	$1,483.23	$1,483.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.58 / $1,632.42 / $3,291.41	Professional		$1,186.58	$1,632.42	$3,291.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.58 / $1,046.58 / $5,312.41	Facility		$1,046.58	$1,046.58	$5,312.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,067.04	Facility		$555.00	$597.00	$2,067.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,407.56 / $2,367.32 / $5,448.15	Professional		$1,407.56	$2,367.32	$5,448.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.39 / $2,016.05 / $4,789.00	Professional		$1,419.39	$2,016.05	$4,789.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,434.25 / $1,434.25 / $7,498.50	Facility		$1,434.25	$1,434.25	$7,498.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,268.78 / $2,067.03 / $3,291.41	Professional		$1,268.78	$2,067.03	$3,291.41