Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $11,481.54	Facility		$1,621.81	$4,466.84	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $4,073.80	Professional		$1,096.48	$1,584.89	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $3,311.31	Professional		$1,023.29	$1,288.25	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $12,302.69	Facility		$2,041.74	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $50,118.72	Facility		$2,344.23	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,089.30 / $6,025.60	Professional		$912.01	$2,089.30	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $4,365.16	Facility		$1,071.52	$1,659.59	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,754.23	Professional		$1,445.44	$1,949.84	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,019.95	Professional		$1,071.52	$1,819.70	$3,019.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $50,118.72 / $75,857.76	Facility		$1,318.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $2,951.21	Professional		$398.11	$1,819.70	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,981.07	Professional		$1,071.52	$1,548.82	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $4,168.69	Facility		$1,148.15	$1,513.56	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $4,265.80	Professional		$1,122.02	$1,698.24	$4,265.80