Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,128.61 / $11,748.98	Facility		$1,778.28	$5,128.61	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,630.78	Professional		$1,202.26	$1,548.82	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,467.37	Professional		$1,174.90	$1,479.11	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $8,912.51	Facility		$1,949.84	$1,949.84	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $50,118.72	Facility		$34.67	$2,238.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $5,623.41	Professional		$1,288.25	$2,041.74	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $4,677.35	Facility		$1,318.26	$1,819.70	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,754.23	Professional		$1,445.44	$1,949.84	$2,754.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,818.38	Professional		$1,000.00	$1,737.80	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
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 / $1,819.70 / $3,019.95	Professional		$398.11	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $4,073.80	Professional		$1,148.15	$1,621.81	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $5,888.44	Facility		$1,096.48	$1,584.89	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $3,981.07	Professional		$1,000.00	$1,698.24	$3,981.07