Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.28 / $1,833.63 / $3,873.34	Professional		$1,516.28	$1,833.63	$3,873.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,465.98 / $1,854.31 / $4,164.27	Professional		$1,465.98	$1,854.31	$4,164.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,494.28 / $2,494.28 / $37,499.62	Facility		$2,494.28	$2,494.28	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,494.28 / $2,494.28 / $2,494.28	Professional		$2,494.28	$2,494.28	$2,494.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.40 / $2,564.54 / $6,231.78	Professional		$1,487.40	$2,564.54	$6,231.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,889.16 / $4,690.35	Facility		$332.00	$1,889.16	$4,690.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.16 / $2,721.40 / $4,023.28	Professional		$1,889.16	$2,721.40	$4,023.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.77 / $1,646.77 / $1,646.77	Facility		$1,646.77	$1,646.77	$1,646.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.79 / $1,785.86 / $3,706.23	Professional		$905.79	$1,785.86	$3,706.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,488.01 / $2,488.01 / $2,488.01	Professional		$2,488.01	$2,488.01	$2,488.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,999.50	Facility		$555.00	$597.00	$1,999.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,585.51 / $2,548.32 / $6,039.95	Professional		$1,585.51	$2,548.32	$6,039.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.63 / $2,130.52 / $5,465.83	Professional		$1,424.63	$2,130.52	$5,465.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,101.01 / $2,101.01 / $5,005.92	Facility		$2,101.01	$2,101.01	$5,005.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,428.69 / $2,294.94 / $4,441.20	Professional		$1,428.69	$2,294.94	$4,441.20