Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.28 / $4,640.82 / $10,296.00	Facility		$1,669.28	$4,640.82	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.58 / $1,449.31 / $2,951.28	Professional		$1,239.58	$1,449.31	$2,951.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,417.00 / $18,161.00	Facility		$4,046.00	$7,417.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.45 / $1,499.94 / $3,309.22	Professional		$1,147.45	$1,499.94	$3,309.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,943.89 / $1,943.89 / $10,957.50	Facility		$1,943.89	$1,943.89	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,943.89 / $1,943.89 / $1,943.89	Professional		$1,943.89	$1,943.89	$1,943.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.55 / $2,127.50 / $4,996.67	Professional		$1,321.55	$2,127.50	$4,996.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,727.00 / $3,498.23	Facility		$332.00	$1,727.00	$3,498.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.57 / $2,048.03 / $3,000.71	Professional		$1,491.57	$2,048.03	$3,000.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.86 / $1,280.86 / $1,280.86	Facility		$1,280.86	$1,280.86	$1,280.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.14 / $1,634.85 / $2,883.92	Professional		$1,100.14	$1,634.85	$2,883.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,630.76 / $4,630.76 / $7,567.74	Facility		$4,630.76	$4,630.76	$7,567.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,531.60	Facility		$555.00	$597.00	$1,531.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,392.50 / $2,089.01 / $4,805.97	Professional		$1,392.50	$2,089.01	$4,805.97
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 $1,166.08 / $1,649.22 / $3,901.28	Professional		$1,166.08	$1,649.22	$3,901.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,634.85 / $1,634.85 / $5,998.35	Facility		$1,634.85	$1,634.85	$5,998.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,111.70 / $1,785.02 / $3,455.82	Professional		$1,111.70	$1,785.02	$3,455.82