Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.25 / $5,122.00 / $12,051.00	Facility		$1,046.25	$5,122.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.78 / $1,851.27 / $3,469.64	Professional		$782.78	$1,851.27	$3,469.64
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 $1,298.29 / $1,830.79 / $4,763.43	Professional		$1,298.29	$1,830.79	$4,763.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,087.82 / $3,478.50 / $13,477.50	Facility		$1,087.82	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,087.82 / $1,087.82 / $2,706.38	Professional		$1,087.82	$1,087.82	$2,706.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.44 / $1,297.44 / $1,297.44	Facility		$1,297.44	$1,297.44	$1,297.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $2,184.21 / $6,285.15	Professional		$836.00	$2,184.21	$6,285.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,050.00 / $1,968.21	Facility		$332.00	$1,050.00	$1,968.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.82 / $2,640.57 / $3,877.29	Professional		$1,885.82	$2,640.57	$3,877.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,619.42 / $1,619.42 / $1,619.42	Facility		$1,619.42	$1,619.42	$1,619.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.24 / $2,138.27 / $3,692.01	Professional		$1,584.24	$2,138.27	$3,692.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,677.27 / $9,677.27 / $9,677.27	Facility		$9,677.27	$9,677.27	$9,677.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,297.44	Facility		$555.00	$597.00	$1,297.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $898.04 / $2,448.71 / $6,420.93	Professional		$898.04	$2,448.71	$6,420.93
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 $1,644.38 / $2,439.33 / $5,970.49	Professional		$1,644.38	$2,439.33	$5,970.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.27 / $912.27 / $3,670.04	Facility		$912.27	$912.27	$3,670.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,619.42 / $2,176.61 / $3,692.01	Professional		$1,619.42	$2,176.61	$3,692.01