Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.57 / $5,164.00 / $11,880.00	Facility		$1,377.57	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.75 / $1,165.84 / $2,426.82	Professional		$1,019.75	$1,165.84	$2,426.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.58 / $1,200.77 / $2,772.43	Professional		$918.58	$1,200.77	$2,772.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,580.13 / $2,644.00 / $12,319.50	Facility		$1,580.13	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,580.13 / $1,580.13 / $1,580.13	Professional		$1,580.13	$1,580.13	$1,580.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,268.30	Facility		$1,268.30	$1,268.30	$1,268.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.51 / $1,690.92 / $4,231.54	Professional		$1,114.51	$1,690.92	$4,231.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,729.53 / $3,001.55	Facility		$332.00	$1,729.53	$3,001.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.63 / $1,731.85 / $2,559.33	Professional		$1,220.63	$1,731.85	$2,559.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.20 / $1,048.20 / $1,048.20	Facility		$1,048.20	$1,048.20	$1,048.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.87 / $1,338.04 / $2,360.34	Professional		$909.87	$1,338.04	$2,360.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,771.10 / $5,771.10 / $5,771.10	Facility		$5,771.10	$5,771.10	$5,771.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,152.47 / $1,690.92 / $3,923.65	Professional		$1,152.47	$1,690.92	$3,923.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,770.00	Facility		$2,264.00	$5,963.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.74 / $1,430.84 / $3,446.95	Professional		$995.74	$1,430.84	$3,446.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,338.04 / $1,338.04 / $5,214.51	Facility		$1,338.04	$1,338.04	$5,214.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $956.75 / $1,460.77 / $2,828.41	Professional		$956.75	$1,460.77	$2,828.41