Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.16 / $4,629.00 / $10,965.00	Facility		$1,693.16	$4,629.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.82 / $1,476.75 / $3,040.63	Professional		$1,308.82	$1,476.75	$3,040.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.99 / $1,534.63 / $3,432.11	Professional		$1,173.99	$1,534.63	$3,432.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,011.95 / $2,011.95 / $37,499.62	Facility		$2,011.95	$2,011.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,011.95 / $2,011.95 / $2,011.95	Professional		$2,011.95	$2,011.95	$2,011.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.26 / $2,234.86 / $5,183.38	Professional		$1,348.26	$2,234.86	$5,183.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,681.00 / $3,604.32	Facility		$332.00	$1,681.00	$3,604.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.52 / $2,110.29 / $3,091.71	Professional		$1,537.52	$2,110.29	$3,091.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,320.33 / $1,320.33 / $1,320.33	Facility		$1,320.33	$1,320.33	$1,320.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.48 / $1,432.35 / $2,972.60	Professional		$1,157.48	$1,432.35	$2,972.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,054.07 / $3,054.07 / $3,054.07	Facility		$3,054.07	$3,054.07	$3,054.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,579.28	Facility		$555.00	$597.00	$1,579.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,443.87 / $2,137.96 / $4,971.22	Professional		$1,443.87	$2,137.96	$4,971.22
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 $1,284.79 / $1,803.35 / $4,323.14	Professional		$1,284.79	$1,803.35	$4,323.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,685.12 / $1,685.12 / $6,305.66	Facility		$1,685.12	$1,685.12	$6,305.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,157.48 / $1,840.01 / $3,562.08	Professional		$1,157.48	$1,840.01	$3,562.08