Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.59 / $4,629.00 / $10,674.00	Facility		$1,748.59	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.52 / $1,525.87 / $3,276.78	Professional		$1,315.52	$1,525.87	$3,276.78
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 $1,198.97 / $1,567.29 / $3,476.97	Professional		$1,198.97	$1,567.29	$3,476.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,984.21 / $1,984.21 / $10,957.50	Facility		$1,984.21	$1,984.21	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,984.21 / $1,984.21 / $1,984.21	Professional		$1,984.21	$1,984.21	$1,984.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.88 / $1,599.88 / $1,599.88	Facility		$1,599.88	$1,599.88	$1,599.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.74 / $2,240.04 / $5,213.16	Professional		$1,379.74	$2,240.04	$5,213.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,817.00 / $3,652.25	Facility		$332.00	$1,817.00	$3,652.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.13 / $2,138.04 / $3,132.81	Professional		$1,556.13	$2,138.04	$3,132.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.31 / $1,336.31 / $1,336.31	Facility		$1,336.31	$1,336.31	$1,336.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.66 / $1,709.41 / $3,015.44	Professional		$1,201.66	$1,709.41	$3,015.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,116.49 / $6,116.49 / $14,961.35	Facility		$6,116.49	$6,116.49	$14,961.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,599.88	Facility		$555.00	$597.00	$1,599.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,460.34 / $2,149.77 / $4,953.01	Professional		$1,460.34	$2,149.77	$4,953.01
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 $1,276.57 / $1,775.79 / $4,403.71	Professional		$1,276.57	$1,775.79	$4,403.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,709.41 / $1,709.41 / $6,470.08	Facility		$1,709.41	$1,709.41	$6,470.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.07 / $1,862.28 / $3,613.42	Professional		$1,230.07	$1,862.28	$3,613.42