Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.25 / $4,629.00 / $10,965.00	Facility		$1,207.25	$4,629.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.63 / $1,033.64 / $1,995.10	Professional		$907.63	$1,033.64	$1,995.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.19 / $1,058.55 / $2,404.04	Professional		$812.19	$1,058.55	$2,404.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,394.93 / $2,390.00 / $10,957.50	Facility		$1,394.93	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,394.93 / $1,394.93 / $1,394.93	Professional		$1,394.93	$1,394.93	$1,394.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,126.75 / $1,126.75	Facility		$1,126.75	$1,126.75	$1,126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.94 / $1,515.00 / $3,747.65	Professional		$992.94	$1,515.00	$3,747.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,425.00 / $2,656.19	Facility		$332.00	$1,425.00	$2,656.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.33 / $1,541.77 / $2,278.42	Professional		$1,086.33	$1,541.77	$2,278.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.87 / $932.87 / $932.87	Facility		$932.87	$932.87	$932.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.43 / $1,188.85 / $2,097.17	Professional		$808.43	$1,188.85	$2,097.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.17 / $1,388.17 / $1,388.17	Professional		$1,388.17	$1,388.17	$1,388.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,126.75	Facility		$555.00	$597.00	$1,126.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,028.11 / $1,515.00 / $3,465.49	Professional		$1,028.11	$1,515.00	$3,465.49
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 $915.01 / $1,286.57 / $3,121.82	Professional		$915.01	$1,286.57	$3,121.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,188.85 / $1,188.85 / $4,762.00	Facility		$1,188.85	$1,188.85	$4,762.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $859.04 / $1,300.05 / $2,513.06	Professional		$859.04	$1,300.05	$2,513.06