Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.54 / $4,525.00 / $10,674.00	Facility		$1,190.54	$4,525.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,021.68 / $2,264.36	Professional		$880.78	$1,021.68	$2,264.36
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 $805.29 / $1,052.67 / $2,421.60	Professional		$805.29	$1,052.67	$2,421.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,383.65 / $3,183.00 / $13,009.50	Facility		$1,383.65	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,383.65 / $1,383.65 / $1,383.65	Professional		$1,383.65	$1,383.65	$1,383.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $1,112.98	Facility		$1,112.98	$1,112.98	$1,112.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.79 / $1,470.38 / $3,705.67	Professional		$975.79	$1,470.38	$3,705.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,058.15 / $2,623.50	Facility		$332.00	$1,058.15	$2,623.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.15 / $1,522.81 / $2,250.38	Professional		$1,058.15	$1,522.81	$2,250.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $921.52 / $921.52 / $921.52	Facility		$921.52	$921.52	$921.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.71 / $1,174.57 / $2,071.96	Professional		$798.71	$1,174.57	$2,071.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,774.79 / $2,774.79 / $2,774.79	Facility		$2,774.79	$2,774.79	$2,774.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.58 / $1,776.58 / $1,776.58	Professional		$1,776.58	$1,776.58	$1,776.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,112.98	Facility		$555.00	$597.00	$1,112.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $993.97 / $1,465.99 / $3,416.15	Professional		$993.97	$1,465.99	$3,416.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.53 / $1,215.01 / $3,193.98	Professional		$872.53	$1,215.01	$3,193.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.57 / $1,174.57 / $2,959.26	Facility		$1,174.57	$1,174.57	$2,959.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $805.59 / $1,284.24 / $2,482.86	Professional		$805.59	$1,284.24	$2,482.86