Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.89 / $2,136.41 / $11,609.00	Facility		$1,564.89	$2,136.41	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.59 / $1,746.86 / $3,488.37	Professional		$1,342.59	$1,746.86	$3,488.37
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 $1,435.11 / $1,782.17 / $3,974.24	Professional		$1,435.11	$1,782.17	$3,974.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,848.57 / $1,848.57 / $13,009.50	Facility		$1,848.57	$1,848.57	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,848.57 / $1,848.57 / $2,253.92	Professional		$1,848.57	$1,848.57	$2,253.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $2,480.42 / $5,603.82	Professional		$1,385.27	$2,480.42	$5,603.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,587.96 / $3,284.80	Facility		$319.00	$1,587.96	$3,284.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.76 / $2,501.28 / $3,497.84	Professional		$1,852.76	$2,501.28	$3,497.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.24 / $1,500.24 / $1,500.24	Facility		$1,500.24	$1,500.24	$1,500.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.19 / $1,682.66 / $3,337.98	Professional		$1,200.19	$1,682.66	$3,337.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,147.81 / $4,147.81 / $5,295.81	Facility		$4,147.81	$4,147.81	$5,295.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,222.92	Facility		$555.00	$597.00	$2,222.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,482.25 / $2,564.46 / $5,764.69	Professional		$1,482.25	$2,564.46	$5,764.69
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 $1,493.17 / $2,166.73 / $5,142.82	Professional		$1,493.17	$2,166.73	$5,142.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,539.63 / $1,539.63 / $8,436.17	Facility		$1,539.63	$1,539.63	$8,436.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,286.73 / $2,090.73 / $3,337.98	Professional		$1,286.73	$2,090.73	$3,337.98