Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,796.00 / $10,194.49	Facility		$1,819.00	$4,796.00	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $1,714.74 / $4,090.15	Professional		$1,497.60	$1,714.74	$4,090.15
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 $1,100.75 / $1,438.90 / $3,811.75	Professional		$1,100.75	$1,438.90	$3,811.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,323.75 / $2,323.75 / $8,917.50	Facility		$2,323.75	$2,323.75	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,323.75 / $2,323.75 / $2,323.75	Professional		$2,323.75	$2,323.75	$2,323.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.60 / $2,496.40 / $6,360.56	Professional		$1,633.60	$2,496.40	$6,360.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,766.76 / $4,384.31	Facility		$332.00	$1,766.76	$4,384.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.44 / $2,586.28 / $3,760.76	Professional		$1,943.44	$2,586.28	$3,760.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,539.45 / $1,539.45 / $1,539.45	Facility		$1,539.45	$1,539.45	$1,539.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.35 / $2,197.13 / $3,464.10	Professional		$1,335.35	$2,197.13	$3,464.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,144.09 / $4,144.09 / $4,144.09	Facility		$4,144.09	$4,144.09	$4,144.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,237.66 / $2,237.66 / $2,294.76	Professional		$2,237.66	$2,237.66	$2,294.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $54,793.00	Facility		$555.00	$597.00	$54,793.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,691.03 / $2,481.48 / $5,789.31	Professional		$1,691.03	$2,481.48	$5,789.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $19,482.00	Facility		$2,705.00	$6,344.00	$19,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.30 / $2,154.30 / $5,208.91	Professional		$1,469.30	$2,154.30	$5,208.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,963.75 / $1,963.75 / $6,158.41	Facility		$1,963.75	$1,963.75	$6,158.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,539.45 / $2,197.13 / $4,174.77	Professional		$1,539.45	$2,197.13	$4,174.77