Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.92 / $4,409.00 / $10,686.00	Facility		$1,477.92	$4,409.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.36 / $1,273.94 / $3,106.06	Professional		$1,101.36	$1,273.94	$3,106.06
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 $997.60 / $1,304.06 / $3,094.70	Professional		$997.60	$1,304.06	$3,094.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,727.07 / $1,990.00 / $8,917.50	Facility		$1,727.07	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,727.07 / $1,727.07 / $1,727.07	Professional		$1,727.07	$1,727.07	$1,727.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $1,388.99 / $1,388.99	Facility		$1,388.99	$1,388.99	$1,388.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.84 / $1,847.92 / $5,169.24	Professional		$1,224.84	$1,847.92	$5,169.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,693.00 / $3,470.65	Facility		$332.00	$1,693.00	$3,470.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.28 / $1,900.19 / $2,807.71	Professional		$1,339.28	$1,900.19	$2,807.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.08 / $1,150.08 / $1,150.08	Facility		$1,150.08	$1,150.08	$1,150.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.59 / $1,467.05 / $2,587.91	Professional		$997.59	$1,467.05	$2,587.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,685.19 / $1,740.63 / $5,714.99	Facility		$1,685.19	$1,740.63	$5,714.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,388.99	Facility		$555.00	$597.00	$1,388.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,259.80 / $1,847.92 / $4,726.53	Professional		$1,259.80	$1,847.92	$4,726.53
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 $1,088.03 / $1,589.87 / $3,995.38	Professional		$1,088.03	$1,589.87	$3,995.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,467.05 / $1,467.05 / $5,211.20	Facility		$1,467.05	$1,467.05	$5,211.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,030.59 / $1,602.77 / $3,101.11	Professional		$1,030.59	$1,602.77	$3,101.11