Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $12,022.64	Facility		$1,122.02	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,238.72	Professional		$724.44	$933.25	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $2,041.74	Professional		$676.08	$831.76	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $12,302.69	Facility		$1,148.15	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,715.35	Professional		$794.33	$1,202.26	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $2,884.03	Facility		$851.14	$1,000.00	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,698.24	Professional		$851.14	$1,174.90	$1,698.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,737.80	Professional		$676.08	$1,071.52	$1,737.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,187.76	Professional		$398.11	$1,071.52	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $20,417.38	Facility		$2,691.53	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,454.71	Professional		$691.83	$977.24	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $3,630.78	Facility		$660.69	$977.24	$3,630.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $2,238.72	Professional		$660.69	$1,000.00	$2,238.72