Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.69 / $4,051.00 / $10,024.00	Facility		$1,138.69	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.82 / $984.27 / $1,851.19	Professional		$823.82	$984.27	$1,851.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.79 / $896.47 / $2,106.96	Professional		$685.79	$896.47	$2,106.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,317.35 / $1,990.00 / $8,917.50	Facility		$1,317.35	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,317.35 / $1,317.35 / $1,317.35	Professional		$1,317.35	$1,317.35	$1,317.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,050.59 / $1,050.59	Facility		$1,050.59	$1,050.59	$1,050.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.65 / $1,390.00 / $3,411.64	Professional		$922.65	$1,390.00	$3,411.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,150.00 / $2,464.61	Facility		$332.00	$1,150.00	$2,464.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.95 / $1,432.11 / $2,114.08	Professional		$1,007.95	$1,432.11	$2,114.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.56 / $865.56 / $865.56	Facility		$865.56	$865.56	$865.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.41 / $1,115.30 / $1,967.42	Professional		$758.41	$1,115.30	$1,967.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,405.86 / $5,405.86 / $5,405.86	Facility		$5,405.86	$5,405.86	$5,405.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,050.59	Facility		$555.00	$597.00	$1,050.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $931.07 / $1,371.62 / $3,113.42	Professional		$931.07	$1,371.62	$3,113.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.68 / $1,150.76 / $2,758.28	Professional		$796.68	$1,150.76	$2,758.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,115.30 / $1,115.30 / $4,298.95	Facility		$1,115.30	$1,115.30	$4,298.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $766.33 / $1,206.24 / $2,357.58	Professional		$766.33	$1,206.24	$2,357.58