Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.57 / $4,263.00 / $10,170.00	Facility		$1,163.57	$4,263.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.41 / $1,042.14 / $1,958.52	Professional		$870.41	$1,042.14	$1,958.52
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 $765.72 / $1,000.95 / $2,325.35	Professional		$765.72	$1,000.95	$2,325.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,398.03 / $1,990.00 / $8,917.50	Facility		$1,398.03	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,398.03 / $1,398.03 / $1,398.03	Professional		$1,398.03	$1,398.03	$1,398.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $1,111.38	Facility		$1,111.38	$1,111.38	$1,111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.82 / $1,435.74 / $3,636.00	Professional		$963.82	$1,435.74	$3,636.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,050.00 / $2,607.50	Facility		$332.00	$1,050.00	$2,607.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.58 / $1,514.89 / $2,236.66	Professional		$1,066.58	$1,514.89	$2,236.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.92 / $915.92 / $915.92	Facility		$915.92	$915.92	$915.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.96 / $1,180.08 / $2,081.69	Professional		$777.96	$1,180.08	$2,081.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,472.62 / $10,472.62 / $18,480.00	Facility		$10,472.62	$10,472.62	$18,480.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.87 / $1,334.87 / $1,334.87	Professional		$1,334.87	$1,334.87	$1,334.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,111.38	Facility		$555.00	$597.00	$1,111.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $987.50 / $1,435.74 / $3,323.63	Professional		$987.50	$1,435.74	$3,323.63
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 $829.27 / $1,174.01 / $2,887.02	Professional		$829.27	$1,174.01	$2,887.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,180.08 / $1,180.08 / $4,330.33	Facility		$1,180.08	$1,180.08	$4,330.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $802.46 / $1,276.42 / $2,494.51	Professional		$802.46	$1,276.42	$2,494.51